摘要
目的探讨快速康复外科(FTS)理念指导下被动训练在女性踝关节骨折术后患者中的应用效果。方法选取2021年6月至2023年5月于兰陵县人民医院行踝关节骨折术的70例女性患者作为研究对象,按照随机数字表法分为对照组与观察组,每组各35例。对照组给予情景式健康宣教干预,观察组在对照组基础上给予FTS理念指导下被动训练。比较两组围手术期情况、疼痛程度、踝关节功能及生活质量。结果观察组首次下床活动时间、住院时间均短于对照组,差异有统计学意义(P<0.05)。干预后,观察组视觉模拟评分法评分低于对照组,Baird-Jackson踝关节评分高于对照组,差异有统计学意义(P<0.05)。观察组各项生活质量综合评定问卷评分均高于对照组,差异有统计学意义(P<0.05)。结论FTS理念指导下被动训练在女性踝关节骨折术后患者中的应用效果显著,可加快术后恢复,减轻疼痛程度,提高踝关节功能,改善生活质量。
Objective To explore the application effect of passive training under the concept of fast track surgery(FTS)in female patients after ankle fracture surgery.Methods A total of 70 female patients who underwent ankle fracture surgery in Lanling County People’s Hospital from June 2021 to May 2023 were selected as the study objects.All the patients were divided into the control group and the observation group according to the random number table method,with 35 cases in each group.The control group received situational health education intervention,and the observation group received passive training under the concept of FTS on the basis of the control group.The perioperative condition,pain degree,ankle function,and quality of life of the two groups were compared.Results The time to get out of bed for the first time and hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the score of visual analogue scale in the observation group was lower than that in the control group,and the score of Baird-Jackson ankle was higher than that in the control group,the differences were statistically significant(P<0.05).The various score of generic quality of life inventory-74 in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The application effect of passive training under the concept of FTS in female patients after ankle fracture surgery is significant,which can accelerate postoperative recovery,reduce pain,improve ankle function and quality of life.
作者
刘静
LIU Jing(Department of Hand-foot Microsurgery,Lanling County People’s Hospital,Shandong Province,Lanling 277700,China)
出处
《妇儿健康导刊》
2024年第11期132-135,共4页
JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE
