中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
8期
157-159
,共3页
股骨干骨折%内固定%膝关节功能%疼痛%护理干预
股骨榦骨摺%內固定%膝關節功能%疼痛%護理榦預
고골간골절%내고정%슬관절공능%동통%호리간예
Fracture of femoral shaft%Internal fixation%Function of knee joint%Pain%Nursing intervention
目的：探讨股骨干骨折内固定术后患者采用护理干预对膝关节功能和疼痛的影响。方法选取该院于2012年4月—2014年2月间收治的采用内固定术治疗的股骨干骨折患者86例为研究对象，按照其护理方式的不同，分为常规护理组和针对护理干预组，每组各43例，其中，常规护理组患者采用普通护理方式，针对护理组患者采用针对性的护理措施进行干预，比较两组护理干预对股骨干骨折患者内固定术后膝关节功能与疼痛的影响。结果两组患者护理效果相比，常规护理组优35例（81.40%），良2例（4.65%），一般4例（9.30%），差2例（4.65%），优良率为37例（86.05%）；针对护理组优39例（90.70%），良2例（4.65%），一般2例（4.65%），差0例，优良率为41例（95.34%），针对护理组的护理效果明显优于常规护理组，且差异明显，具有统计学意义。同时，记录两组患者的VAS评分值（视觉模拟疼痛评分法）及HSS评分值（膝关节损伤标准评分法）。结论对股骨干骨折患者在内固定术后采用针对性的护理措施干预可有效减轻患者痛苦，加快患者膝关节功能的恢复，降低患者术后疼痛，提高患者生活质量，临床护理效果显著。
目的：探討股骨榦骨摺內固定術後患者採用護理榦預對膝關節功能和疼痛的影響。方法選取該院于2012年4月—2014年2月間收治的採用內固定術治療的股骨榦骨摺患者86例為研究對象，按照其護理方式的不同，分為常規護理組和針對護理榦預組，每組各43例，其中，常規護理組患者採用普通護理方式，針對護理組患者採用針對性的護理措施進行榦預，比較兩組護理榦預對股骨榦骨摺患者內固定術後膝關節功能與疼痛的影響。結果兩組患者護理效果相比，常規護理組優35例（81.40%），良2例（4.65%），一般4例（9.30%），差2例（4.65%），優良率為37例（86.05%）；針對護理組優39例（90.70%），良2例（4.65%），一般2例（4.65%），差0例，優良率為41例（95.34%），針對護理組的護理效果明顯優于常規護理組，且差異明顯，具有統計學意義。同時，記錄兩組患者的VAS評分值（視覺模擬疼痛評分法）及HSS評分值（膝關節損傷標準評分法）。結論對股骨榦骨摺患者在內固定術後採用針對性的護理措施榦預可有效減輕患者痛苦，加快患者膝關節功能的恢複，降低患者術後疼痛，提高患者生活質量，臨床護理效果顯著。
목적：탐토고골간골절내고정술후환자채용호리간예대슬관절공능화동통적영향。방법선취해원우2012년4월—2014년2월간수치적채용내고정술치료적고골간골절환자86례위연구대상，안조기호리방식적불동，분위상규호리조화침대호리간예조，매조각43례，기중，상규호리조환자채용보통호리방식，침대호리조환자채용침대성적호리조시진행간예，비교량조호리간예대고골간골절환자내고정술후슬관절공능여동통적영향。결과량조환자호리효과상비，상규호리조우35례（81.40%），량2례（4.65%），일반4례（9.30%），차2례（4.65%），우량솔위37례（86.05%）；침대호리조우39례（90.70%），량2례（4.65%），일반2례（4.65%），차0례，우량솔위41례（95.34%），침대호리조적호리효과명현우우상규호리조，차차이명현，구유통계학의의。동시，기록량조환자적VAS평분치（시각모의동통평분법）급HSS평분치（슬관절손상표준평분법）。결론대고골간골절환자재내고정술후채용침대성적호리조시간예가유효감경환자통고，가쾌환자슬관절공능적회복，강저환자술후동통，제고환자생활질량，림상호리효과현저。
Objective To discuss the effect of nursing intervention on the knee joint function and pain after internal fixation of fracture of femoral shaft. Methods 86 cases with fracture of femoral shaft treated by internal fixation in our hospital from April 2012 to February 2014 were selected as the subjects and divided into the conventional nursing group and targeted nursing group with 43 cases in each in accordance with the different nursing method. The conventional nursing group were given the general nursing, while the targeted nursing group were given the targeted nursing for intervention. And the effect of nursing intervention on the knee joint function and pain after internal fixation of fracture of femoral shaft was compared between the two groups. Results The comparison of the nursing effect between the two groups showed that, in the conventional nursing group, the nursing effect was excellent in 35 cases(81.40%), good in 2 cases(4.65%), fair in 4 cases(9.30%), poor in 2 cases(4.65%), excellent and good in 37 cases, the excellent and good rate was 86.05%; in the targeted nursing group, the nursing effect was excellent in 39 cases (90.70%), good in 2 cases (4.65%), fair in 2 cases (4.65%), poor in 0 case, excellent and good in 41 cases, the excellent and good rate was 95.34%, the nursing efficacy of the targeted nursing group was much better than that of the conventional nursing group, the difference was statistically significant. At the same time, the visual analogue score (VAS) and hospital for special surgery knee score(HSS) of the two groups were recorded. Conclusion For patients with fracture of femoral shaft treated by internal fixation, tar-geted nursing intervention has remarkable clinical nursing effect, which can effectively alleviate the suffering, accelerate the recov-ery of knee joint function, reduce the postoperative pain and improve the quality of life.
