自我干预强化点检表用于老年踝关节骨折患者围术期自我管理能力及功能锻炼依从性的效果观察

Effects of self-intervention strengthening checklist on perioperative self-management ability and compliance with functional ex-ercise in elderly patients with ankle fracture

中文关键词: 老年, 踝关节骨折, 自我干预强化点检表, 自我管理, 踝关节功能

英文关键词: elderly  ankle fracture  self-intervention strengthening checklist  self-management  ankle function

中文摘要:

      目的 观察自我干预强化点检表用于老年踝关节骨折患者围术期自我管理能力及功能锻炼依从性的临床效果.方法 选取2022年4月-2024年3月无锡市第九人民医院足踝外科治疗的100例老年踝关节骨折患者,按照护理方法的不同分为观察组(n=55)和对照组(n=45).对照组行常规围术期护理,观察组在对照组处理的基础上加用自我干预强化点检表干预,干预时间为手术后立刻至出院后3个月.观察并比较2组自我管理能力、功能锻炼依从性、踝关节功能、护理满意度.结果 干预后,2组各维度ESCA评分均高于同组干预前(P＜0.05),观察组各维度ESCA评分均高于对照组(P＜0.05);2组功能锻炼依从性与踝关节功能评分均高于同组干预前(P＜0.05),且观察组功能锻炼依从性与踝关节功能评分均高于对照组(P＜0.05);观察组护理满意率高于对照组(96.36％vs82.22％,P＜0.05).结论 自我干预强化点检表不仅可提升老年踝关节患者的自我管理能力,还可提高其功能锻炼依从性,改善踝关节功能,具有较高得护理满意率.

英文摘要:

      Objective To explore the effects of self-intervention strengthening checklist on perioperative self-manage-ment ability and compliance with functional exercise in elderly patients with ankle fracture.Methods 100 elderly patients with ankle fracture treated in Department of Foot and Ankle Surgery,Ninth People's Hospital of Wuxi City from April 2022 to March 2024 were selected and divided into observation group(n=55)and control group(n=45)according to different nurs-ing methods.The control group received routine perioperative nursing,and the observation group received intervention by means of self-intervention strengthening checklist on the basis of the control group.The intervention time was from immediately after operation to 3 months after discharge.The self-management ability,compliance with functional exercise,ankle joint func-tion and nursing satisfaction of the two groups were observed and compared.Results After intervention,the scores of all di-mensions of ESCA in both groups were higher than those of the same group before intervention(P＜0.05),and the observa-tion group was higher than the control group(P＜0.05);the compliance with functional exercise and scores of ankle joint function in both groups were higher than those in the same group before intervention(P＜0.05),and the observation group was higher than the control group(P＜0.05).The nursing satisfaction rate in the observation group was higher than that in the control group(96.36％vs 82.22％,P＜0.05).Conclusion The self-intervention strengthening checklist can not only im-prove the self-management ability of elderly patients with ankle fracture,but also enhance their compliance with functional exer-cise and improve ankle joint function.It has a high nursing satisfaction.