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循证指导的标准化康复护理在掌骨骨折术后患者中的应用效果

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目的:观察循证指导的标准化康复护理在掌骨骨折术后患者中的应用效果。方法:选取2022年1月至2023年1月该院收治的82例掌骨骨折术后患者进行前瞻性研究,按照随机数字表法将其分为研究组和对照组各41例。对照组采用常规护理,研究组在对照组基础上采用循证指导的标准化康复护理。比较两组护理前后疼痛程度[视觉模拟评分法(VAS)]评分、手部功能优良率、术后并发症发生率和护理满意度。结果:护理6周后,两组VAS评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0。05);研究组手部功能优良率为65。85%,高于对照组的43。90%,差异有统计学意义(P<0。05);研究组并发症发生率低于对照组,差异有统计学意义(P<0。05);研究组护理满意度高于对照组,差异有统计学意义(P<0。05)。结论:在常规护理基础上采用循证指导的标准化康复护理可提高掌骨骨折术后患者手部功能优良率和护理满意度,以及降低疼痛程度评分和并发症发生率的效果优于单纯常规护理。
Application effects of evidence-based standardized rehabilitation nursing in postoperative patients with metacarpal fractures
Objective:To observe application effects of evidence-based standardized rehabilitation nursing in postoperative patients with metacarpal fractures. Methods:A total of 82 patients with metacarpal fractures treated in this hospital from January 2022 to January 2023 were selected for the prospective study. According to the random number table method,they were divided into study group and control group,41 cases in each group. The control group was given routine postoperative nursing,while the study group was given the evidence-based standardized rehabilitation nursing on the basis of that of the control group. The pain degree[visual analogue scale (VAS)]score before and after the nursing,the excellent and good rate of hand function,the incidence of postoperative complications,and the nursing satisfaction were compared between the two groups. Results:After 6 weeks of nursing,the VAS scores of the two groups were lower than those before the nursing,that in the study group was lower than that in the control group,and the differences were statistically significant (P<0.05). The excellent and good rate of hand function in the study group was 65.85%,which was higher than 43.90% in the control group,and the difference was statistically significant (P<0.05). The incidence of complications in the study group was lower than that in the control group,and the difference was statistically significant (P<0.05). Further,the nursing satisfaction of the study group was higher than that of the control group,and the difference was statistically significant (P<0.05). Conclusions:The evidence-based standardized rehabilitation nursing on the basis of the routine nursing can improve the excellent and good rate of hand function and the nursing satisfaction of the postoperative patients with metacarpal fractures,and reduce the scores of pain degree and the incidence of complications. Moreover,it is superior to simple routine nursing.

Metacarpal fracturePostoperativeEvidence-based guidanceStandardized rehabilitation nursingHand functionPain degreeNursing satisfaction

刘玲、王腾飞

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郑州市骨科医院手外科·显微骨科Ⅰ,河南 郑州 450000

掌骨骨折 术后 循证指导 标准化康复护理 手部功能 疼痛程度 护理满意度

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(24)