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加速康复外科护理对跟骨骨折患者围手术期结局的影响。

Effectiveness of accelerated rehabilitation surgical nursing on perioperative outcomes in patients with calcaneal fractures.

机构信息

Foot and Ankle Surgery, Wuhan Fourth Hospital, Wuhan, Hubei, China.

出版信息

Medicine (Baltimore). 2024 Oct 11;103(41):e39409. doi: 10.1097/MD.0000000000039409.

Abstract

This study aims to evaluate the impact of accelerated rehabilitation nursing on perioperative outcomes in patients with calcaneal fractures. A total of 101 patients with calcaneal fractures admitted from December 2020 to December 2022 were included in this study. Patients were randomly assigned to an observation group (OG) of 51 patients receiving accelerated rehabilitation surgical nursing and a control group (CG) of 50 patients receiving conventional surgical nursing. Outcomes assessed included patient satisfaction, visual analog scale (VAS) scores before and after surgery, swelling reduction time, and complication rates. The satisfaction rate in the OG was 96.07%, significantly higher than the 80.00% observed in the CG. Post-operative VAS scores at day 4 and 6 were significantly lower in the OG compared to the CG. Swelling reduction time was shorter in the OG (152.56 ± 25.22 hours) compared to the CG (170.76 ± 22.51 hours). Additionally, the complication rate in the OG was significantly lower at 7.84% compared to 24.00% in the CG (P < .05).the implementation of accelerated rehabilitation nursing significantly shortened the average length of hospital stay for patients in the observation group. In contrast, patients in the control group, who received conventional nursing care, had a relatively longer hospital stay. In the perioperative treatment of calcaneal fractures, accelerated rehabilitation surgical nursing can significantly improve patient satisfaction, reduce pain, shorten the time for swelling to subside, and lower the incidence of complications. Additionally, it can shorten the hospital stay for patients, demonstrating its efficacy and potential for broader clinical application.

摘要

本研究旨在评估加速康复护理对跟骨骨折患者围手术期结局的影响。共纳入 2020 年 12 月至 2022 年 12 月收治的 101 例跟骨骨折患者。患者随机分为观察组(OG)51 例,接受加速康复外科护理,对照组(CG)50 例,接受常规外科护理。评估的结局包括患者满意度、术前和术后视觉模拟评分(VAS)、肿胀消退时间和并发症发生率。观察组的满意度为 96.07%,明显高于 CG 的 80.00%。观察组术后第 4 天和第 6 天的 VAS 评分明显低于 CG。观察组的肿胀消退时间较短(152.56±25.22 小时),CG 组(170.76±22.51 小时)。此外,观察组的并发症发生率明显低于 CG(7.84%比 24.00%)(P<0.05)。加速康复护理的实施显著缩短了观察组患者的平均住院时间。相比之下,接受常规护理的 CG 组患者的住院时间相对较长。在跟骨骨折的围手术期治疗中,加速康复外科护理可以显著提高患者满意度,减轻疼痛,缩短肿胀消退时间,降低并发症发生率。此外,还可以缩短患者的住院时间,显示出其在更广泛的临床应用中的疗效和潜力。

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