文章摘要

放松疗法联合阶段性功能锻炼在踝关节骨折患者围手术期护理管理中的应用价值

作者: 1郁玲, 2张丹丹, 2刘娈
1 皖北煤电集团总医院护理部,安徽 宿州 234011
2 皖北煤电集团总医院手足外科,安徽 宿州 234011
通讯: 郁玲 Email: 1457632246@qq.com
DOI: 10.3978/j.issn.2095-6959.2020.09.036

摘要

目的:探究放松疗法联合阶段性功能锻炼在踝关节骨折患者围手术期护理管理中的应用价值。方法:选择拟于皖北煤电集团总医院接受手术治疗的80例踝关节骨折患者,随机分为对照组与观察组,各40例。对照组患者围手术期给予常规护理管理,观察组患者围手术期在常规护理管理基础上给予放松疗法联合阶段性功能锻炼,分析两组患者术后疼痛、术后睡眠情况与住院时间、踝关节功能、护理满意度差异。结果:观察组患者术后12,24,48及72 h疼痛评分均显著低于对照组(P<0.05);观察组患者术后24 h睡眠时间、48 h睡眠时间均显著长于对照组(P<0.05),住院时间显著短于对照组(P<0.05);术后2个月,两组患者踝关节背伸、跖屈的活动度与踝关节功能评分较术前均显著提高(P<0.05),且观察组高于对照组(P<0.05);观察组护理满意度显著高于对照组(P<0.05)。结论:放松疗法联合阶段性功能锻炼在踝关节患者围手术期护理管理中能够减轻患者术后疼痛,改善睡眠,缩短住院时间,有助于促进患者踝关节功能恢复,具有较高临床应用价值。
关键词: 放松疗法;阶段性功能锻炼;踝关节骨折;围手术期护理管理

Application value of relaxation therapy combined with phased functional exercise in perioperative nursing management of patients with ankle fractures

Authors: 1YU Ling, 2ZHANG Dandan, 2LIU Luan
1 Nursing Department, General Hospital of Wanbei Coal & Power Group, Suzhou Anhui 234011, China
2 Department of Hand and Foot Surgery, General Hospital of Wanbei Coal & Power Group, Suzhou Anhui 234011, China

CorrespondingAuthor: YU Ling Email: 1457632246@qq.com

Abstract

Objective: To explore the application value of relaxation therapy combined with phased functional exercise in perioperative nursing management of patients with ankle fractures. Methods: Eighty patients with ankle fractures who were going to undergo surgery in General Hospital of Wanbei Coal & Power Group were selected and randomly divided into control group and observation group, with 40 cases in each group. The patients in control group were given routine nursing management during perioperative period while the patients in observation group were given relaxation therapy combined with phased functional exercise during perioperative period on the basis of routine nursing management. The differences in postoperative pain, postoperative sleep and hospital stay, ankle function and nursing satisfaction were analyzed in the two groups. Results: The pain scores of patients in observation group at 12, 24, 48 and 72 h after surgery were significantly lower than those in control group (P<0.05). The sleep time at 24 h after surgery and sleep time at 48 h after surgery in observation group were significantly longer than those in control group (P<0.05), and the hospital stay was significantly shorter than that in control group (P<0.05). At 2 months after surgery, the scores of activities of ankle dorsiflexion and plantar flexion and ankle function in the two groups were significantly improved compared with those before surgery (P<0.05), and the scores in observation group were higher than those in control group (P<0.05). The nursing satisfaction in observation group was significantly higher than that in control group (P<0.05). Conclusion: Relaxation therapy combined with phased functional exercise can reduce postoperative pain, improve sleep and shorten the hospital stay in perioperative nursing management of patients with ankle fractures. It is helpful to promote the recovery of ankle function and has high clinical application value.
Keywords: relaxation therapy; phased functional exercise; ankle fractures; perioperative nursing management