早期康复护理在髌骨骨折术后患者中的应用及对患者睡眠质量的影响(1)
摘要 目的：研究髌骨骨折患者术后实施早期康复护理的效果。方法：选取2017年3月至2018年9月丰顺县中医院收治的髌骨骨折病例82例作为研究对象，采用随机抽签方法分为观察组和对照组，每组41例。对照组实施基础护理，观察组实施早期康复护理，对比术后疼痛程度、膝关节和生活能力、并发症情况。结果：在疼痛评分上，观察组术后1 d、3 d、7 d的评分低于对照组(P<0.05)。2组护理后的HSS评分提高、Barthel指数提高，且观察组优于对照组(P<0.05)。在切口感染、切口开裂、活动障碍等并发症上，观察组发生2例(4.9%)，对照组发生5例(12.2%)，对比差异无统计学意义(P>0.05)。观察组的睡眠质量评分低于对照组，有统计学意义(P<0.05)。结论：髌骨骨折患者术后早期康复护理具有积极意义，能减轻疼痛程度、改善膝关节、睡眠质量和日常生活能力，推荐优先选用。
关键词 髌骨骨折;早期康复护理;疼痛程度;关节功能;并发症;睡眠质量
Abstract Objective：To study the effect of early rehabilitation nursing in patients with patellar fracture after operation.Methods：Firstly，82 cases of patellar fracture were selected began March 2017 to September 2018.Secondly，divided these patients into 2 groups randomly： 41 cases of basic nursing in control group and 41 cases of early rehabilitation nursing in observation group.Thirdly，the degree of pain，knee joint，life ability and complications after operation were compared.Results：On the 1st，3rd and 7th day after operation，the VAS scores of the patients in the observation group were lower than those in the control group (P<0.05).HSS score and Barthel index increased in both groups after nursing，and the increase in observation group was more significant (P<0.05).The incidence of incision infection，incision dehiscence and movement disorder was 4.9% in the observation group，slightly lower than 12.2% in the control group，there was not obvious difference (P>0.05).The sleep quality score of the observation group was lower than that of the control group，with significant difference (P<0.05).Conclusion：Early postoperative rehabilitation nursing for patients with patella fracture is of positive significance，can reduce pain degree，improve knee joint，sleep quality and daily living ability，recommended priority.
Key Words Patella Fracture; Early Rehabilitation Nursing; Pain Degree; Joint Function; Complications;The quality of sleep
中圖分类号：R338.63文献标识码：Adoi：10.3969/j.issn.2095-7130.2019.01.058
在骨折患者中，髌骨骨折比较常见，20～50岁是高发群体，典型症状表现为疼痛、肿胀、瘀血、膝关节无法伸直[1-2]。数据调查显示[3]，我国交通行业、建筑行业在快速发展的同时，因暴力因素所致的髌骨骨折发病率有所提高，对正常生活造成不利影响。在治疗方面，手术修复骨折损伤是首选，如何在围术期加强护理干预，避免出现严重应激反应，加快恢复速度，成为护理人员的关注重点。有学者研究称[4]，该类患者术后开展早期康复护理，可以抓住早期功能锻炼时机，在缓解疼痛、尽早下床、减少并发症以及改善睡眠质量等方面均有良好效果。为了系统性探究早期康复护理的应用价值，本文选取82例患者分组对比，现将结果报道如下。
1 资料与方法
1.1 一般资料
选取2017年3月至2018年9月丰顺县中医院收治的髌骨骨折病例82例作为研究对象，采用随机抽签方法分为观察组和对照组，每组41例。对照组中男24例(58.5%)，女17例(41.5%);年龄21～58岁，平均年龄(40.5±6.3)岁;骨折部位：左侧18例、右侧23例。观察组中男27例(65.9%)，女14例(34.1%);年龄20～59岁，平均年龄(39.3±6.6)岁;骨折部位：左侧20例、右侧21例。2组患者一般资料经统计学分析，差异无统计学意义(P>0.05)，具有可比性。研究获得医院伦理学机构批准。, http://www.100md.com(罗曼霞 罗森通 郑进福)
关键词 髌骨骨折;早期康复护理;疼痛程度;关节功能;并发症;睡眠质量
Abstract Objective：To study the effect of early rehabilitation nursing in patients with patellar fracture after operation.Methods：Firstly，82 cases of patellar fracture were selected began March 2017 to September 2018.Secondly，divided these patients into 2 groups randomly： 41 cases of basic nursing in control group and 41 cases of early rehabilitation nursing in observation group.Thirdly，the degree of pain，knee joint，life ability and complications after operation were compared.Results：On the 1st，3rd and 7th day after operation，the VAS scores of the patients in the observation group were lower than those in the control group (P<0.05).HSS score and Barthel index increased in both groups after nursing，and the increase in observation group was more significant (P<0.05).The incidence of incision infection，incision dehiscence and movement disorder was 4.9% in the observation group，slightly lower than 12.2% in the control group，there was not obvious difference (P>0.05).The sleep quality score of the observation group was lower than that of the control group，with significant difference (P<0.05).Conclusion：Early postoperative rehabilitation nursing for patients with patella fracture is of positive significance，can reduce pain degree，improve knee joint，sleep quality and daily living ability，recommended priority.
Key Words Patella Fracture; Early Rehabilitation Nursing; Pain Degree; Joint Function; Complications;The quality of sleep
中圖分类号：R338.63文献标识码：Adoi：10.3969/j.issn.2095-7130.2019.01.058
在骨折患者中，髌骨骨折比较常见，20～50岁是高发群体，典型症状表现为疼痛、肿胀、瘀血、膝关节无法伸直[1-2]。数据调查显示[3]，我国交通行业、建筑行业在快速发展的同时，因暴力因素所致的髌骨骨折发病率有所提高，对正常生活造成不利影响。在治疗方面，手术修复骨折损伤是首选，如何在围术期加强护理干预，避免出现严重应激反应，加快恢复速度，成为护理人员的关注重点。有学者研究称[4]，该类患者术后开展早期康复护理，可以抓住早期功能锻炼时机，在缓解疼痛、尽早下床、减少并发症以及改善睡眠质量等方面均有良好效果。为了系统性探究早期康复护理的应用价值，本文选取82例患者分组对比，现将结果报道如下。
1 资料与方法
1.1 一般资料
选取2017年3月至2018年9月丰顺县中医院收治的髌骨骨折病例82例作为研究对象，采用随机抽签方法分为观察组和对照组，每组41例。对照组中男24例(58.5%)，女17例(41.5%);年龄21～58岁，平均年龄(40.5±6.3)岁;骨折部位：左侧18例、右侧23例。观察组中男27例(65.9%)，女14例(34.1%);年龄20～59岁，平均年龄(39.3±6.6)岁;骨折部位：左侧20例、右侧21例。2组患者一般资料经统计学分析，差异无统计学意义(P>0.05)，具有可比性。研究获得医院伦理学机构批准。, http://www.100md.com(罗曼霞 罗森通 郑进福)
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