首页|中医情志护理结合早期康复干预在胫骨骨折患者中的效果及对应激障碍的影响

中医情志护理结合早期康复干预在胫骨骨折患者中的效果及对应激障碍的影响

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目的 探析胫骨骨折患者采用中医情志护理配合早期康复干预的效果及对应激障碍的影响。方法 选取2021年5月至2022年5月江西中医药大学附属医院收治的58例胫骨骨折患者作为研究对象,采用随机数字表法将其分为对照组(29例)和观察组(29例)。对照组采用早期康复护理,观察组结合中医情志护理。比较两组的应激障碍评分、康复指标、并发症发生率。结果 观察组治疗后应激障碍评分低于对照组,差异有统计学意义(P<0。05);观察组骨折愈合时间、住院时间低于对照组,膝关节功能(Rasmussen)评分高于对照组,差异有统计学意义(P<0。05);两组干预前屈曲度、伸展度比较,差异无统计学意义(P>0。05),观察组干预后膝关节屈曲度大于对照组、伸展度小于对照组,差异有统计学意义(P<0。05)。观察组关节僵硬、切口感染、深静脉血栓总发生率低于对照组,差异有统计学意义(P<0。05)。结论 中医情志护理配合早期康复干预应用在胫骨骨折护理干预中效果明显,可有效减轻患者应激障碍,促使患者病情康复,有效防止并发症发生,临床上可借鉴及推广。
Effect of traditional Chinese medical emotional nursing combined with early rehabilitation intervention in patients with tibial fracture and its in-fluence on stress disorder
Objective To explore the effect of emotional nursing of traditional Chinese medicine combined with early reha-bilitation intervention in patients with tibial fracture and its influence on stress disorder.Methods Fifty-eight patients with tibial fracture admitted to Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from May 2021 to May 2022 were selected as research objects,and were divided into control group(29 cases)and observation group(29 cases)by random number table method.The control group received early rehabilitation nursing,the observation group combined with traditional Chinese medicine emotional nursing.Stress disorder score,rehabilitation index and complication rate were com-pared between the two groups.Results The scores of post-treatment stress disorder in the observation group were lower than that in the control group,the differences were statistically significant(P<0.05).Fracture healing time and hospital stay in observation group were lower than control group,and knee joint function(Rasmussen)score was higher than control group,the differences were statistically significant(P<0.05).There were no statistical significances in the flexion and extension between the two groups before intervention(P>0.05).The knee flexion of the observation group was greater than that of the control group,and the extension was smaller than that of the control group after intervention,with statistical significances(P<0.05).The total incidence of joint stiffness,incision infection and deep vein thrombosis in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of traditional Chinese emotional nursing combined with early rehabilitation intervention in the nursing intervention of tibial fracture has obvious effect,can effectively reduce the stress disorder of patients,promote the rehabilitation of patients,effectively prevent the occurrence of complications,clinical reference and promotion.

Traditional Chinese medical emotional nursingEarly rehabilitation interventionTibial fractureStress disorder

黄丽君、帅品花、熊润萍、邓文静

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江西中医药大学附属医院创伤骨科,江西南昌 330006

中医情志护理 早期康复干预 胫骨骨折 应激障碍

江西省中医药管理局科技计划项目

2022B702

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(3)
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