Application effects of functional exercise pathway based on appreciation education in patients with tibiofibular fractures after open reduction and internal fixation
Objective:To observe application effects of functional exercise pathway based on appreciation education in patients with tibiofibular fractures after open reduction and internal fixation.Methods:A prospective study was conducted on 80 patients who underwent open reduction and internal fixation of tibiofibular fractures in this hospital from December 2020 to April 2023.They were divided into control group and observation group according to the random number table method,40 cases in each group.The control group was given routine nursing,while the observation group was given the functional exercise pathway nursing based on appreciation education on the basis of the control group.The excellent and good rate of limb function,the compliance rate,the pain degree before and after the nursing[visual analogue scale(VAS)]score,the quality of life before and after the nursing[world health organization quality of life-brief version(WHOQOL-BREF)]score,and the incidence of complications were compared between the two groups.Results:The excellent and good rate of limb function in the observation group was 97.50%,which was higher than 80.00%in the control group,the difference was statistically significant(P<0.05).The compliance rate of the observation group was 97.50%,which was higher than 77.50%of the control group,and the difference was statistically significant(P<0.05).After 14 and 30 days of nursing,the VAS scores of the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 2.50%,which was lower than 20.00%in the control group,the difference was statistically significant(P<0.05).Further,the WHOQOL-BREF scores of physical health,mental health,social relations and environment in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:The functional exercise pathway based on appreciation education in the patients with tibiofibular fractures after open reduction and internal fixation can improve their nursing compliance rate and the quality of life,promote the recovery of limb function,reduce the postoperative pain,and reduce the incidence of postoperative complications.Moreover,it is superior to the routine nursing.
Appreciation educationFunctional exerciseTibiofibular fractureOpen reduction and internal fixationQuality of lifeLimb function