康复管理捆绑式新型护理服务对小儿发育性髋关节脱位矫正术肢体功能、并发症及患儿家属认知度的影响
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摘要
目的探究与分析康复管理捆绑式新型护理服务对小儿发育性髋关节脱位矫正术肢体功能的影响。方法选取2015年5月～2017年5月新疆医科大学第一附属医院收治的行手术治疗的小儿发育性髋关节脱位患儿83例,采用随机数字表法将其分为两组:对照组40例,给予术后常规康复护理干预;观察组43例,在对照组基础上加用康复管理捆绑式新型护理服务。比较两组患儿肢体功能Fugl Meyer运动功量表(FMA)评分、拆石膏时间、远期疗效评分、并发症发生率、患儿家属康复护理重视度及康复护理认知度。结果与对照组比较,观察组FMA评分较高、拆石膏时间较短、远期疗效评分较高,差异有统计学意义(P <0.05)。与对照组比较,观察组患儿家属对康复护理知识的重视度及认知程度评分较高,差异有统计学意义(P <0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P <0.05)。结论在术后常规护理基础上加康复管理捆绑式新型护理服务应用于小儿发育性髋关节脱位术后能够促进改善肢体功能,提高患儿家属对疾病康复的认知度,降低并发症发生率,提高治疗效果及安全性。
Objective To explore and analyze the effect of the new nursing service of rehabilitation management on the limb function of children with developmental hip dislocation. Methods From May 2015 to May 2017, in the First Affiliated Hospital of Xinjiang Medical University, 83 children with developmental dislocation of the hip were selecred, by random number table, they were divided into the control group(40 cases, with routine postoperative rehabilitation nursing intervention), observation group(43 cases, combined with rehabilitation management bundled new nursing care on the basis of the observation group). The functional FMA grade, tear open gesso time, forward curative effect, complication rates, families of children with rehabilitation nursing value degree and rehabilitation nursing recognition in two groups were compared. Results Compared with the control group, in the observation group, the FMA score was higher,the time of dissection was shorter and the long-term efficacy score was higher, the differences were statistically significant(P < 0.05). Compared with the control group, in the observation group, the family members had a higher degree of attention and cognition of the rehabilitation nursing knowledge, the differences were statistically significant(P < 0.05).The incidence of complications in the observation group was lower than the control group, the difference was statistically significant(P < 0.05). Conclusion On the basis of conventional nursing and rehabilitation management bundled new nursing service application without developmental dislocation of the hip surgery can promote the improvement of limb function, improve the children′s family awareness of disease recovery, reduce complications, and improve treatment efficacy and safety.
Objective To explore and analyze the effect of the new nursing service of rehabilitation management on the limb function of children with developmental hip dislocation. Methods From May 2015 to May 2017, in the First Affiliated Hospital of Xinjiang Medical University, 83 children with developmental dislocation of the hip were selecred, by random number table, they were divided into the control group(40 cases, with routine postoperative rehabilitation nursing intervention), observation group(43 cases, combined with rehabilitation management bundled new nursing care on the basis of the observation group). The functional FMA grade, tear open gesso time, forward curative effect, complication rates, families of children with rehabilitation nursing value degree and rehabilitation nursing recognition in two groups were compared. Results Compared with the control group, in the observation group, the FMA score was higher,the time of dissection was shorter and the long-term efficacy score was higher, the differences were statistically significant(P < 0.05). Compared with the control group, in the observation group, the family members had a higher degree of attention and cognition of the rehabilitation nursing knowledge, the differences were statistically significant(P < 0.05).The incidence of complications in the observation group was lower than the control group, the difference was statistically significant(P < 0.05). Conclusion On the basis of conventional nursing and rehabilitation management bundled new nursing service application without developmental dislocation of the hip surgery can promote the improvement of limb function, improve the children′s family awareness of disease recovery, reduce complications, and improve treatment efficacy and safety.
引文
[1]高小雁,董秀丽.积水潭小儿骨科护理[M].北京:北京大学医学出版社,2014:181-187.
[2]刘洪瑞,张大鹏,王振江.手术治疗小儿发育性髋关节脱位[J].实用骨科杂志,2013,19(7):649-650.
[3]刘洁.小儿发育性髋关节脱位的治疗与护理体会[J].临床医药实践,2015,24(4):295-296.
[4]蔡威,孙宁,魏光辉.小儿外科学[M].5版.北京:人民卫生出版社,2014:476-485.
[5]赵军,牛永祝,裴生太.小儿髋部手术架在发育性髋关节脱位手术中的临床应用[J].中国医疗设备,2015,30(4):89-90.
[6]郭蓓,马新影,翟晓楠.以家庭为中心的护理在小儿发育性髋关节脱位术后的作用[J].中国现代药物应用,2016,10(6):89-90.
[7]方继红,刘永,武凤芹,等.发育性髋关节脱位患儿围手术期护理标准流程的应用及效果研究[J].中华护理杂志,2017,52(9):12-13.
[8]任蔚虹,王慧琴.临床骨科护理学[M].北京:中国医药科技出版社,2013:7-8.
[9]刘玄江.先天性髋关节脱位手术的全程护理及出院指导[J].医学信息,2015,28(4):32-33.
[10]乔邢星.先天性髋关节脱位的围手术期护理[J].淮海医药,2015,33(4):406-407.
[11]吕嫔,张娜,党东旭.salter髂骨旋转截骨术治疗学龄前儿童先天性髋关节脱位围手术期的循证护理[J].世界最新医学信息文摘,2016,16(61):89-90.
[12]张夏芳,朱丽新,郑加敏.康复管理捆绑式护理服务在婴幼儿期发育性髋关节脱位手术治疗患儿中的应用研究[J].当代护士,2017,(11):69-70.
[13]施建文.以家庭为中心的护理模式在儿科病房的实施效果[J].中医药管理杂志,2015,23(4):170-172.
[14]王晓蕾,胡晓云,李连永.术后系统护理干预对小儿发育性髋关节脱位矫形术后肢体功能的影响[J].中国医药导报,2018,15(1):30-31.
[15]王晓春,李辉,张秋阳.发育性髋关节脱位患儿母亲家庭护理知识认知和需求的调查[J].解放军护理杂志,2014,31(10):11-14.
[16]吕华,李斌霞.发育性髋关节脱位围手术期的护理体会[J].当代护士,2015(8):53-54.
[17]何晓霞,林少霞,莫少芳,等.以家庭为中心护理模式在儿科护理中的应用[J].国际医药卫生导报,2014,20(5):89-90.
[18]黎爱金.小儿发育性髋关节脱位术后综合护理干预的效果分析[J].贵阳中医学院,2012,34(4):67-68.
[19]陈伟飞,柯兰兰,方静静.以家庭为中心的护理模式在小儿外科护理中的应用[J].中医药管理杂志,2016,24(21):12-13.
[20]王琳,翟晓楠,马新影.以家庭为中心儿科护理模式创建与临床应用[J].中国现代药物应用,2016,10(6):289-290.
[2]刘洪瑞,张大鹏,王振江.手术治疗小儿发育性髋关节脱位[J].实用骨科杂志,2013,19(7):649-650.
[3]刘洁.小儿发育性髋关节脱位的治疗与护理体会[J].临床医药实践,2015,24(4):295-296.
[4]蔡威,孙宁,魏光辉.小儿外科学[M].5版.北京:人民卫生出版社,2014:476-485.
[5]赵军,牛永祝,裴生太.小儿髋部手术架在发育性髋关节脱位手术中的临床应用[J].中国医疗设备,2015,30(4):89-90.
[6]郭蓓,马新影,翟晓楠.以家庭为中心的护理在小儿发育性髋关节脱位术后的作用[J].中国现代药物应用,2016,10(6):89-90.
[7]方继红,刘永,武凤芹,等.发育性髋关节脱位患儿围手术期护理标准流程的应用及效果研究[J].中华护理杂志,2017,52(9):12-13.
[8]任蔚虹,王慧琴.临床骨科护理学[M].北京:中国医药科技出版社,2013:7-8.
[9]刘玄江.先天性髋关节脱位手术的全程护理及出院指导[J].医学信息,2015,28(4):32-33.
[10]乔邢星.先天性髋关节脱位的围手术期护理[J].淮海医药,2015,33(4):406-407.
[11]吕嫔,张娜,党东旭.salter髂骨旋转截骨术治疗学龄前儿童先天性髋关节脱位围手术期的循证护理[J].世界最新医学信息文摘,2016,16(61):89-90.
[12]张夏芳,朱丽新,郑加敏.康复管理捆绑式护理服务在婴幼儿期发育性髋关节脱位手术治疗患儿中的应用研究[J].当代护士,2017,(11):69-70.
[13]施建文.以家庭为中心的护理模式在儿科病房的实施效果[J].中医药管理杂志,2015,23(4):170-172.
[14]王晓蕾,胡晓云,李连永.术后系统护理干预对小儿发育性髋关节脱位矫形术后肢体功能的影响[J].中国医药导报,2018,15(1):30-31.
[15]王晓春,李辉,张秋阳.发育性髋关节脱位患儿母亲家庭护理知识认知和需求的调查[J].解放军护理杂志,2014,31(10):11-14.
[16]吕华,李斌霞.发育性髋关节脱位围手术期的护理体会[J].当代护士,2015(8):53-54.
[17]何晓霞,林少霞,莫少芳,等.以家庭为中心护理模式在儿科护理中的应用[J].国际医药卫生导报,2014,20(5):89-90.
[18]黎爱金.小儿发育性髋关节脱位术后综合护理干预的效果分析[J].贵阳中医学院,2012,34(4):67-68.
[19]陈伟飞,柯兰兰,方静静.以家庭为中心的护理模式在小儿外科护理中的应用[J].中医药管理杂志,2016,24(21):12-13.
[20]王琳,翟晓楠,马新影.以家庭为中心儿科护理模式创建与临床应用[J].中国现代药物应用,2016,10(6):289-290.
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