摘要
目的:探讨"家属参与"护理模式对先天性马蹄内翻足患者足功能及睡眠质量的影响。方法:选取2013年11月至2015年12月首都医科大学附属北京康复医院收治的先天性马蹄内翻足患者60例,根据随机数字表法随机分为对照组与观察组,每组30例。其中对照组按照常规方法进行护理,观察组采用"家属参与"护理模式。比较2组患者的足部功能恢复情况、平均住院时间、健康知识掌握情况、并发症的发生情况及睡眠质量等,并对出院患者进行随访,获得其恢复情况数据。结果:2组患者均未出现并发症,但观察组患者较对照组住院时间更短,足部功能评分优良率更高,出院时健康知识掌握更好,从而术后伤口痊愈更快,足部功能恢复更好。观察组平均住院时间为(32.25±2.60)d,少于对照组的(35.34±2.70)d,差异有统计学意义(t=4.384,P<0.01);观察组的足部功能评分优良率为93.34%,高于对照组的66.67%,差异有统计学意义(χ~2=5.104,P<0.05),患者出院时观察组患者的健康知识掌握为(37.98±10.23)分,远高于对照组的(14.52±5.84)分,差异有统计学意义(t=10.908,P<0.01);通过对2组患者入院时及出院时的睡眠质量调查,发现观察组患者出院时PSQI评分显著高于对照组,差异有统计学意义(t=2.374,P<0.05)。结论:将"家属参与"护理模式运用于先天性马蹄内翻足,能促进其伤口愈合,改善其足部功能恢复状况及睡眠质量,并且患者对此种护理模式的满意度更高,值得进一步推广。
Objective： To explore the effect of ＂family member participation＂nursing mode on foot function and sleep quality of congenital clubfoot. Methods： according to random number table,60 cases of congenital clubfoot were randomly divided into control group and observation group,30 cases in each group. The control group was given routine nursing,while the observation group adopted the family member＇s nursing mode. The recovery of foot function,the average time of hospitalization,the knowledge of health,the occurrence of complications and the quality of sleep were compared between the two groups,and the patients were followed up and the recovery data were obtained. Results： there were no complications in the two groups,but the patients in the observation group were shorter than the control group,the good rate of the foot function score was higher and the health knowledge was better in the discharge. The recovery of the wound after the operation was faster and the foot function was better. The average hospitalization time of the observation group was（ 32. 25 ± 2. 60） d,which was less than that of the control group（ 35. 34 ± 2. 70） d,and the difference was statistically significant（ t = 4. 384,P 〈 0. 01）,and the good rate of foot function score of the observation group was 93. 34%,higher than that of the control group（ 66. 67%）,the difference was statistically significant（ χ~2= 5. 104,P 〈 0. 05）,and the patient＇s health knowledge palms at the discharge of the patient＇s hospital. Hold（ 37. 98 ± 10. 23） scores,far higher than the control group（ 14. 52 ± 5. 84）,the difference was statistically significant（ t = 10. 908,P 〈 0. 01）. Through the investigation of the sleep quality of the two groups of patients when they were hospitalized and discharged,the PSQI score of the patients in the observation group was significantly higher than that of the control group,the difference was statistically significant（ t = 2. 374,P 〈 0. 05）. Conclusion： the application of ＂family participation＂nursing mode to congenital clubfoot can promote the healing of the wound,improve the functional recovery and sleep quality of the foot,and the satisfaction of the patients to this nursing mode is higher,and it is worth further promoting.
作者
丁芳
沈研
闫丽欣
Ding Fang;Shen Yan;Yan Lixin(Beijing rehabilitation hospital affiliated to Capital Medical University,Beijing,100043;General Hospital of the PLA,Beijing,100043)
出处
《世界睡眠医学杂志》
2018年第4期468-471,共4页
World Journal of Sleep Medicine
