摘要
目的探讨图谱法在膝关节周围骨折术后患者康复训练中的应用效果。方法采用回顾性资料分析方法，将2011年7—12月收治的膝关节周围骨折手术治疗的患者共90例作为研究对象。采用类实验的方法将不同时间段收治入院的患者分为观察组和对照组。其中7—9月收治的45例患者为对照组，接受常规康复训练；10—12月收治的45例患者为观察组，在接受常规护理的基础上增加利用图谱法给予患者功能锻炼指导并予以示教。采用膝关节功能HSS评分和治疗依从性对其康复效果进行评价。结果患者末次随访术后12周时膝关节功能，对照组HSS评分为（76．8±4．3）分，观察组为（84．3±3．8）分，两组比较差异有统计学意义（t=8．77，P〈0．01）；两组HSS评分等级比较差异亦有统计学意义（X^2=8．0，P〈0．01）。经非参数秩和检验，两组依从性比较差异有统计学意义（U=53．10，P〈0．01）。结论图谱法应用于膝关节周围骨折术后患者康复训练，是一种有效的护理方法，优于常规护理。
Objective To explore the rehabilitation effect of mapping method on the rehabilitation training among around the Knee Joint Fracture patients. Methods The clinical data were retrospectively analyzed and compared from 90 cases with knee fractures between July 2011 and December 2011, who were treated with operation. Forty-five patients who injuried between October and December were as experimental group that received routine nursing and the health education by mapping method and other 45 cases were as control group that only received routine nursing. Rehabilitation effect indexes that we observed were HSS score and compliance. Results After 12 weeks of operation, the HSS score of experimental group was significantly higher than that of control group [ （ 84.3 ± 3.8） vs （76.8 ± 4.3 ）＇; t = 8.77, P 〈 0.01 ]. And significant difference was found in the patients＇ compliance （ U = 53.10, P 〈 0. 01 ） and the rank of HSS score between experimental group and control group （ X^2 = 8.0, P 〈 0.01 ）. Conclusions Good clinical outcomes could be obtained with mapping nursing.
出处
《中华现代护理杂志》
2013年第5期519-521,共3页
Chinese Journal of Modern Nursing
基金
上海市第六人民医院院级科学研究基金课题（院-1479）
关键词
骨折
膝关节
康复护理
图谱法
Fracture
Knee joint
Rehabilitation nursing
Mapping method
