The impact of diversified rehabilitation nursing interventions on knee joint function recoveryin patients with tibial plateau fractures
多元化康复模式的护理干预对胫骨平台骨折患者膝关节功能恢复的影响

摘要

目的 探究对胫骨平台骨折患者实施多元化康复模式的护理干预对其膝关节功能恢复的影响。方法选取就诊于我院的胫骨平台骨折患者88例为分析对象，均为2020年1月至2022年12月期间入院，按照电脑随机分组法将其均分两组。对照组接受常规护理、观察组则予以多元化康复模式的护理干预。比较两组患者护理后的关节功能评分、并发症发生情况、住院时间、治疗费用、生活质量评分及护理满意度。结果 观察组患者护理后的膝关节功能恢复效果优于对照组，疼痛、屈曲能力、肿胀及行走能力评分均显示更高（P＜0.05）。观察组的相关并发症总发生率低于对照组（P＜0.05）。相较对照组，观察组的住院时间更短、治疗费用更低（P＜0.05）。护理后，生活质量显示观察组优于对照组，社会功能、躯体功能及心理功能评分均处于更高水平（P＜0.05）。此外，观察组对护理服务的总满意度亦明显高于对照组（P＜0.05）。结论 针对胫骨平台骨折患者中采取多元化康复模式的护理干预具有理想效果，可帮助患者促进膝关节功能恢复，降低并发症发生风险，提高生活质量，进而缩短住院时间、减少治疗费用，同时，还利于构建良好护患关系，提高满意度，值得积极推广。

Abstract

Objective To explore the impact of implementing diversified rehabilitation models in nursing interventions for patients with tibial plateau fractures on their knee joint function recovery.
Methods 88 patients with tibial plateau fractures who visited our hospital were selected as the analysis subjects, all admitted between January 2020 and December 2022. They were randomly divided into two groups using computer randomization. The control group received routine care, while the observation group received diversified rehabilitation nursing interventions. Compare the joint function scores, incidence of complications, length of hospital stay, treatment costs, quality of life scores, and nursing satisfaction between two groups of patients after nursing care.
Results The recovery effect of knee joint function after nursing in the observation group was better than that in the control group, and the scores of pain, flexion ability, swelling, and walking ability were all higher (P<0.05). The total incidence of related complications in the observation group was lower than that in the control group (P<0.05). Compared to the control group, the observation group had shorter hospital stay and lower treatment costs (P<0.05). After nursing, the quality of life showed that the observation group was better than the control group, and the scores of social function, physical function, and psychological function were all at higher levels (P<0.05). In addition, the overall satisfaction of the observation group with nursing services was significantly higher than that of the control group (P<0.05).
Conclusion   Adopting a diversified rehabilitation model as a nursing intervention for patients with tibial plateau fractures has an ideal effect, which can help promote knee joint function recovery, reduce the risk of complications, improve quality of life, shorten hospitalization time, reduce treatment costs, and build a good nurse patient relationship to improve satisfaction. It is worth actively promoting.