下肢骨折患者实施前瞻性护理后功能恢复及并发症分析

Analysis of prospective nursing on the functional recovery and complications in patients with lower limb fracture

  • 摘要: 目的:分析前瞻性护理干预在下肢骨折患者肢体功能恢复及预防并发症中的应用。方法将下肢骨折患者72例随机分为观察组和对照组各36例。对照组患者给予常规护理,观察组在此基础上实施前瞻性护理干预,比较2组患者术后恢复、肢体运动功能及并发症情况。结果观察组患者首次翻身时间、功能锻炼时间及住院时间均显著低于对照组,差异有统计学意义(P <0.05);2组患者 Fugl-Meyer 运动功能积分均有显著改善,且观察组改善程度显著优于对照组,差异有统计学意义(P <0.05);观察组患者肿胀、下肢深静脉血栓、便秘、褥疮、疼痛、感染等并发症发生率均显著低于对照组,差异有统计学意义(P <0.05)。结论对下肢骨折患者实施前瞻性护理措施,可有效提高患肢运动功能,降低术后并发症的发生率,值得临床推广和应用。

     

    Abstract: Objective To analyze the application of prospective nursing intervention on the functional recovery and complications in patients with lower limb fracture.Methods 72 patients with lower limb fracture randomized into observation group and control group with 36 patients in each group.Control group was given routine nursing while observation group was conducted prospective nursing intervention on the basis of the control group.Postoperative recovery,limb motor function and complications were compared in the two groups.Results The difference was statistically significant since the first turn over time,functional exercise time and hospitalization time of patients in the observation group were significantly lower than that in the control group (P<0.05).The scores of Fugl-Meyer motor function of patients in the two groups were improved significantly,and the improvement of motor function in the observation group was significantly better than that in the control group,so the difference was statistically significant (P <0.05). Swelling,lower extremity deep vein thrombosis,constipation,bedsore,pain,infection and other complications of patients in the observation group were significantly lower than that in the control group,so the difference was statistically significant (P <0.05).Conclusion Prospective nursing measures for the patients with lower limb fracture can effectively improve the limb movement func-tion and reduce the postoperative complications,so it is worthy of clinical application.

     

/

返回文章
返回