首页|基于舒适理论的小丑照护在肱骨髁上骨折患儿术后康复中的应用效果

基于舒适理论的小丑照护在肱骨髁上骨折患儿术后康复中的应用效果

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目的:探讨基于舒适理论的小丑照护在肱骨髁上骨折患儿术后康复中的应用效果。方法:采用便利抽样法,选取 2022年 4月—2023年 4月济宁市第三人民医院收治的82例肱骨髁上骨折术后患儿为研究对象,按随机数字表法将患者分为对照组和观察组,各41例。对照组采用常规术后照护干预,观察组在对照组基础上采用基于舒适理论的小丑照护干预,对比两组疼痛程度、骨骼愈合情况(Fernandez-Esteve骨痂评分)及患儿家属满意度。结果:术后第 3、5天,观察组疼痛程度评分均低于对照组,差异均有统计学意义(P<0。05)。术后第 2、5、8周,观察组Fernandez-Esteve骨痂评分均高于对照组,差异均有统计学意义(P<0。05)。观察组患儿家属满意度为 92。68%,高于对照组的 53。66%,差异有统计学意义(P<0。05)。结论:将基于舒适理论的小丑照护应用于肱骨髁上骨折患儿术后康复中,可以减轻患儿术后疼痛,促进骨骼愈合,提升患儿家属满意度。
Application Effect of Clown Care Based on Comfort Theory in Postoperative Rehabilitation of Children with Supracondylar Fracture of the Humerus
Objective:To explore the application effect of clown care based on comfort theory in postoperative rehabilitation of children with supracondylar fractures of the humerus.Methods:A total of 82 children with supracondylar fracture of humerus treated in Third People's Hospital of Jining City from April 2022 to April 2023 were selected as the study objects by convenient sampling method,and were divided into a control group and an observation group according to random number table method,with 41 cases in each group.The control group received conventional postoperative nursing intervention,and the observation group received clown care intervention based on comfort theory on the basis of the control group.The pain degree scores,bone healing(Fernandez-Esteve callus score)and family satisfaction of the children were compared between the two groups.Results:On the 3rd and 5th day after surgery,the pain degree scores in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).At the 2nd,5th,and 8th week after surgery,the Fernandez-Esteve callus scores in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The satisfaction of family members in the observation group was 92.68%,which was higher than 53.66%in the control group,the difference was statistically significant(P<0.05).Conclusion:The application of clown care based on the comfort theory in the postoperative rehabilitation of children with supracondylar fracture of humerus can reduce the postoperative pain of children,promote bone healing,and improve the satisfaction of their families.

Supracondylar fracture of humerusComfort theoryClown carePostoperative rehabilitation

谢志华

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山东省济宁市第三人民医院手足外科,山东 济宁 272100

肱骨髁上骨折 舒适理论 小丑照护 术后康复

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(13)