摘要
目的基于赋权理论构建肋骨骨折患者居家康复方案,并评价其应用效果。方法系统检索2013年6月—2023年5月国内外肋骨骨折患者康复相关文献,经过文献筛选、临床调查和专家函询,确定基于赋权理论的肋骨骨折患者居家康复方案终稿。选取2023年10月—2024年6月在首都医科大学附属北京友谊医院胸心血管外科住院治疗后出院的肋骨骨折患者102例为研究对象,按出院顺序分为观察组52例和对照组50例。对照组患者采用常规健康教育及出院随访,观察组患者实施基于赋权理论的肋骨骨折患者居家康复方案,分别于出院时及出院后第2、4、8、12周对患者疼痛程度、肺功能[用力肺活量(FVC)、第1秒用力呼气容积(FEV1)]和功能锻炼依从性进行调查,于出院后12周统计并比较两组患者的并发症发生率和再入院率。结果出院后第4、8、12周观察组的疼痛评分低于对照组,FVC、FEV1均高于对照组,差异均有统计学意义(P<0.05)。出院后12周观察组的并发症发生率、非计划再入院率均低于对照组,功能锻炼依从性高于对照组,差异均有统计学意义(P<0.05)。结论基于赋权理论构建的居家康复方案能够减轻肋骨骨折患者居家康复期间的疼痛程度,促进呼吸功能恢复,提高患者功能锻炼依从性,降低并发症发生率及非计划再入院率。
Objective To construct a home rehabilitation program for patients with rib fractures based on empowerment theory and to evaluate its application effects.Methods Literature related to rehabilitation of rib fracture patients published between June 2013 and May 2023 was systematically retrieved.After literature screening,clinical investigation,and expert consultation,the final version of the home rehabilitation program based on empowerment theory was developed.A total of 102 rib fracture patients discharged from the Department of Thoracic and Cardiovascular Surgery,Beijing Friendship Hospital,Capital Medical University,between October 2023 and June 2024 were selected as research subjects.According to discharge sequence,52 patients were assigned to the observation group and 50 patients to the control group.The control group received routine health education and discharge follow-up,while the observation group received the empowerment theory-based home rehabilitation program.Pain levels,pulmonary function[forced vital capacity(FVC),forced expiratory volume in 1 second(FEV1)],and exercise compliance were assessed at discharge and at 2,4,8,and 12 weeks post-discharge.Complication incidence and readmission rates were recorded and compared at 12 weeks after discharge.Results At 4,8,and 12 weeks post-discharge,pain scores in the observation group were lower than those in the control group,whereas FVC and FEV1 were higher;the differences were all statistically significant(P<0.05).At 12 weeks post-discharge,the incidence of complications and unplanned readmission rates in the observation group were lower than those in the control group,the exercise compliance score was higher,and the differences were all statistically significant(P<0.05).Conclusions The home rehabilitation program for rib fracture patients constructed based on empowerment theory can reduce pain during home rehabilitation,promote recovery of pulmonary function,improve exercise compliance,and decrease the incidence of complications and unplanned readmissions.
作者
朱雯怡
李梦溦
刘春全
Zhu Wenyi;Li Mengwei;Liu Chunquan(Department of Thoracic and Cardiovascular Surgery,Beijing Friendship Hospital,Capital Medical University,Beijing 101125,China)
出处
《中华现代护理杂志》
2025年第33期4544-4552,共9页
Chinese Journal of Modern Nursing
关键词
肋骨骨折
居家康复
赋权理论
家庭护理
Rib fractures
Home rehabilitation
Empowerment theory
Family nursing
