摘要
目的探讨医护一体化管理干预在小儿不稳定性肱骨踝上骨折患者中的应用效果。方法选择2016年4月~2017年6月我院收治的126例不稳定性肱骨踝上骨折患儿为研究对象,应用随机数字表法分为对照组(63例),观察组(63例)。两组患儿均行手术治疗,对照组患儿在术后行常规康复护理,观察组患儿则在常规护理基础上采用医护一体化管理干预。比较两组患儿干预前后的面部表情疼痛量表(FLACC)和美国特种外科医院(HSS)肘关节功能评分,并比较干预期间两组的并发症发生情况。结果干预后1个月,两组的FLACC评分均低于干预前,且观察组的FLACC评分均低于对照组(P<0.05),干预后3个月,两组的FLACC评分均低于干预前及干预后1个月,且观察组的FLACC评分低于对照组(P<0.05)。干预后1个月,两组的HSS评分均高于干预前,且观察组的HSS评分均高于对照组(P<0.05),干预后3个月,两组的HSS评分均高于干预前及干预后1个月,且观察组的HSS评分高于对照组(P<0.05)。干预期间,观察组伤口感染、骨不连、关节僵硬、肘内翻等并发症的总发生率为1.59%,略低于对照组的7.94%,两组比较,差异无统计学意义(P>0.05)。结论医护一体化管理干预在小儿不稳定性肱骨踝上骨折的应用效果显著,可减轻患儿术后骨折处疼痛程度,安全性有保障,还能促进肘关节功能恢复,值得推广应用。
Objective To discuss the application effect of medical and nursing integrated management intervention in unstable humerus supracondylar fracture in children. Methods All of 126 cases of children with unstable supracondylar supracondylar fractures treated in our hospital from April 2016 to June 2017 were selected as research subjects. All the patients were divided into the control group (n=63) and observation group (n=63) using the random number table method. Both groups of children were given surgical treatment. The patients in the control group received routine rehabilitation care after surgery,while the patients in the observation group were given integrated management interventions on the basis of routine care. The Face,Legs,Activity,Crying,Consolability (FLACC) and elbow joint function score of hospital for special surgery (HSS) in American before and after intervention were compared in illed-children between the two groups,and the complications of the two groups during the intervention were compared. Results One month after intervention,FLACC scores of the two groups were lower than those before intervention,and FLACC scores of the observation group were lower than those of the control group (P<0.05). Three months after intervention,FLACC scores of the two groups were lower than those before intervention and one month after intervention,and the FLACC scores of the observation group were lower than those of the control group (P<0.05). One month after intervention,HSS scores of the two groups were higher than those before intervention,and HSS scores of the observation group were higher than those of the control group (P<0.05). Three months after the intervention,the HSS scores of the two groups were higher than those before intervention and one month after intervention,and HSS scores of the observation group were higher than those of the control group (P<0.05). During the intervention period,the incidence of complications such as wound infection,nonunion,joint stiffness,and cubitus varus in the observation gro
作者
陈桂芳
CHEN Gui-fang(The Seventh Surgical Wards,Guangzhou Women and Children Medical Center,Guangdong Province,Guangzhou 510120,China)
出处
《中国当代医药》
2019年第14期218-221,共4页
China Modern Medicine
关键词
不稳定性肱骨踝上骨折
医护一体化管理
肘关节功能评分
应用效果
Unstable humerus supracondylar fracture
Medical and nursing integrated management
Elbow joint function score
Application effect
