首页|中医情志护理联合康复训练对胫骨骨折患者并发症及术后疼痛的影响

中医情志护理联合康复训练对胫骨骨折患者并发症及术后疼痛的影响

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目的 研究中医情志护理联合康复训练对胫骨骨折患者并发症及术后疼痛的影响.方法 以2021年4月-2023年4月于抚州市中医医院行手术治疗的66例胫骨骨折患者为研究对象,依据随机数字表法分为对照组(33例)与观察组(33例).两组均给予常规术后护理,对照组在其基础上开展康复训练,观察组则实施中医情志护理联合康复训练,比较两组患者的术后疼痛[视觉模拟评分(VAS)]、负面情绪[焦虑自评量表(SAS)]、肢体功能[Lysholm膝关节评分、Fugl-Meyer运动功能评估量表(FMAS)-下肢功能]、并发症、术后住院时间、骨折愈合时间.结果 术后6 h,观察组VAS、SAS评分均低于术后2 h,且观察组VAS、SAS评分低于对照组(P<0.05).术后1个月,两组Lysholm、FMAS-下肢功能评分均高于术后3天,且观察组Lysholm、FMAS-下肢功能评分高于对照组(P<0.05).观察组并发症发生率小于对照组,术后住院时间、骨折愈合时间短于对照组(P<0.05).结论 中医情志护理联合康复训练可有效缓解胫骨骨折患者的术后疼痛及负性情绪,促进肢体功能康复,降低并发症风险,缩短术后恢复时间.
Effect of Traditional Chinese Medicine Emotional Nursing Combined with Rehabilitation Training on Complications and Postoperative Pain in Patients with Tibial Fracture
Objective To study the effect of traditional Chinese medicine emotional nursing combined with rehabilitation training on complications and postoperative pain in patients with tibial fracture.Methods A total of 66 patients with tibial fracture who underwent surgical treatment in Fuzhou Hospital of Traditional Chinese Medicine from April 2021 to April 2023 were divided into control group(33 patients)and observation group(33 patients)according to random number table method.Both groups were given routine postoperative nursing.The control group was given rehabilitation training on the basis of routine postoperative nursing,while the observation group was given traditional Chinese medicine emotional nursing combined with rehabilitation training.The postoperative pain[Visual Analogue Scale(VAS)],negative emotions[Self-rating Anxiety Scale(SAS)],limb function[Lysholm knee score,Fugl-Meyer motor function assessment scale(FMAS)-lower limb function],complications,postoperative hospitalization time and fracture healing time were compared between the two groups.Results At 6 h after operation,the VAS and SAS scores of the observation group were lower than those at 2 h after operation,and the VAS and SAS scores of the observation group were lower than those of the control group(P<0.05).At 1 month after operation,the Lysholm and FMAS-lower limb function scores of the two groups were higher than those at 3 days after operation,and the Lysholm and FMAS-lower limb function scores of the observation group were higher than those of the control group(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the postoperative hospitalization time and fracture healing time were shorter than those in the control group(P<0.05).Conclusion Traditional Chinese medicine emotional nursing combined with rehabilitation training can effectively relieve postoperative pain and negative emotions in patients with tibial fractures,promote limb function rehabilitation,reduce the risk of complications,and shorten postoperative recovery time.

Tibial fractureRehabilitation trainingTraditional Chinese medicine emotional nursingPain

姜莹

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抚州市中医医院骨伤科,江西 抚州 344000

胫骨骨折 康复训练 中医情志护理 疼痛

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(6)
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