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下肢骨折康复护理:预防深静脉血栓形成,提高生活质量。

Rehabilitation nursing after lower limb fracture: Preventing deep vein thrombosis and enhancing quality of life.

机构信息

Tongren Hospital of Wuhan University/Wuhan Third Hospital, Wuchang District, Wuhan, China.

Liyuan Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

Medicine (Baltimore). 2023 Nov 24;102(47):e36180. doi: 10.1097/MD.0000000000036180.

DOI:10.1097/MD.0000000000036180
PMID:38013261
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10681382/
Abstract

This study aimed to assess the preventive role of rehabilitation nursing in the formation of deep vein thrombosis (DVT) in the lower limbs after fracture and its effect on the patient's quality of life. Ninety patients with lower limb fractures were randomly divided into a study group (n = 45) and a control group (n = 45). Patients in the control group received routine care postoperatively, whereas patients in the study group received rehabilitation nursing intervention on the same postoperative day. A follow-up examination was conducted after 3 months. The occurrence rate of lower limb DVT (LDVT) complications, hemorheology, quality of life (SF-36) scores, coagulation profile, and nursing satisfaction were compared between the groups. After the intervention, the study group presented with lower extremity DVT and higher hemorheology indices than those of the control group (P < .05). The SF-36 scores of both groups increased, but the increase in SF-36 scores in the study group was more significant (P < .001). The satisfaction level of the patients in the study group with nursing services was higher than that of the control group (P = .004). Coagulation indicators can be effectively adjusted and the occurrence of postoperative complications can be reduced in patients undergoing spine fracture surgery such as DVT via standardized rehabilitation care, thereby improving patients' quality of life and nursing conditions.

摘要

本研究旨在评估康复护理在预防骨折后下肢深静脉血栓形成(DVT)中的作用及其对患者生活质量的影响。90 例下肢骨折患者随机分为研究组(n=45)和对照组(n=45)。对照组患者术后接受常规护理,研究组患者在术后当天接受康复护理干预。3 个月后进行随访检查。比较两组患者下肢 DVT(LDVT)并发症、血液流变学、生活质量(SF-36)评分、凝血谱和护理满意度。干预后,研究组下肢 DVT 发生率及血液流变学指标均高于对照组(P<0.05)。两组 SF-36 评分均升高,但研究组 SF-36 评分升高更明显(P<0.001)。研究组患者对护理服务的满意度高于对照组(P=0.004)。通过规范化康复护理,可有效调节凝血指标,减少 DVT 等脊柱骨折术后并发症的发生,从而提高患者的生活质量和护理条件。