Application and effect evaluation of high-quality nursing in functional rehabilitation of limb intra-articular fractures
优质护理在四肢关节内骨折术后功能康复的应用与效果评价

摘要

目的 探析在四肢关节内骨折术后使用优质护理对患者功能康复的影响及临床效果。方法 本研究开始时间为2019年7月，结束时间为2020年7月，研究期间选取在我院接受治疗的四肢关节内骨折患者共计90例作为主要分析对象，为了详细的分析优质护理的效果，本研究选取对比的方法，故将所有患者分为两组，一组命名为对照组，另一组命名为观察组，分组依据随机数字表法完成，每组中有45例患者，所有的患者均接受四肢关节内骨折手术和护理，但护理方法不同，分别是对照组患者接受常规护理，观察组患者接受优质护理；使用不同护理方法后对患者的临床情况进行观察和分析，并记录护理期间的相关数据，主要包括：上肢肘关节活动度、膝关节活动度、生活质量评分等数据。同时将两组记录后的数据进行比较。结果 根据数据分析得知，（124.21±7.68）°、（121.37±7.49）°分别是观察组患者的上肢肘关节及膝关节活动度相对于对照组（99.61±3.47）°、（97.63±3.31）°较高，相比之下存在明显差异有统计学意义（P＜0.05）；此外观察组患者的生活质量相对于对照组较高，同样存在明显差异和统计学意义（P＜0.05）。结论 对四肢关节内骨折患者术后使用优质护理能够有效改善患者的关节活动情况，提高关节的恢复程度，同时对患者生活质量的提高有着积极作用。

Abstract

Objective: To explore the impact and clinical effects of high-quality nursing on patients' functional rehabilitation after intra-articular fractures of the extremities.
Methods The study started in July 2019 and ended in July 2020. During the study, a total of 90 patients with intra-articular fractures of the extremities who were treated in our hospital were selected as the main analysis objects. In order to analyze the effects of quality care in detail, In this study, the method of comparison was selected, so all patients were divided into two groups. One group was named the control group and the other group was named the observation group. The grouping was completed according to the random number table method. There were 45 patients in each group, and all patients All patients received surgical and nursing care for intra-articular fractures of the extremities, but the nursing methods were different. Patients in the control group received routine care and patients in the observation group received high-quality nursing; after using different nursing methods, the patients’ clinical conditions were observed and analyzed, and the nursing period was recorded. The relevant data mainly includes: upper limb elbow joint range of motion, knee joint range of motion, quality of life scores and other data. Simultaneously compare the two sets of recorded data.
Results According to data analysis, (124.21±7.68)° and (121.37±7.49)° are the range of motion of the upper limb elbow and knee joints of the observation group relative to the control group (99.61±3.47)°, (97.63±3.31), respectively ° is higher, and there is a statistically significant difference in comparison (P<0.05); in addition, the quality of life of patients in the observation group is higher than that of the control group, and there are also significant differences and statistical significance (P<0.05).
Conclusion   The use of high-quality nursing care for patients with intra-articular fractures of the extremities after surgery can effectively improve the joint activity of the patients, improve the recovery of the joints, and have a positive effect on improving the quality of life of the patients.