Effect of standardized nursing process combined with detailed nursing on functional exercise compliance and self-care ability of patients with foot and ankle fractures
规范化护理流程结合细节护理对足踝骨折患者功能锻炼依从性及自护能力的影响

摘要

目的 探讨分析对足踝骨折患者实施规范化护理流程结合细节护理的效果以及对其锻炼依从性和自护能力的影响。方法 选取86例确诊足踝骨折的患者参与研究，医护人员已经征得患者、家属同意，愿意参与本次研究；为达成研究目的，根据患者的入院顺序分组，对于先入院的43例患者，将其纳入至对照组，实施常规护理，对于后入院的43例患者则纳入至观察组，实施规范化护理流程结合细节护理，并比较两组患者的锻炼依从性、自护能力及踝关节功能恢复情况。结果 经过对两组患者的锻炼依从性评估看，观察组、对照组分别有2例、7例“不依从”情况，总依从率分别为95.34%、83.72%，观察组的锻炼依从性较高（P＜0.05）；通过ESCA评估两组患者的自护能力，在护理后观察组ESCA评分显著高于对照组（P＜0.05）；同时，在踝关节功能恢复情况的评估中，选用AOFAS评分作为评估工具，结果显示护理后观察组、对照组的AOFAS评分分别为（90.63±6.25）分、（85.27±6.19）分，观察组AOFAS评分更高（P＜0.05）。结论 对足踝骨折患者实施规范化护理流程结合细节护理可提高锻炼依从性和自护能力，有助于踝关节功能恢复。

Abstract

Objective To explore and analyze the effect of standardized nursing procedures combined with detailed nursing for patients with foot and ankle fractures and the influence on their exercise compliance and self-care ability.
Methods 86 patients with confirmed foot and ankle fracture were selected to participate in the study. The medical staff had obtained the consent of the patients and their families and were willing to participate in the study. To achieve the purpose of the study, patients were grouped according to the order of admission. The 43 patients admitted first were included in the control group for routine nursing, while the 43 patients admitted later were included in the observation group for standardized nursing procedures combined with detailed nursing, and the exercise compliance, self-care ability and ankle function recovery of patients in the two groups were compared.
Results After the evaluation of the exercise compliance of the two groups of patients, there were 2 cases in the observation group and 7 cases in the control group, with the total compliance rate of 95.34% and 83.72%, respectively. The exercise compliance of the observation group was relatively high (P < 0.05). The self-care ability of the two groups was evaluated by ESCA, and the ESCA score of the observation group was significantly higher than that of the control group after nursing (P < 0.05). At the same time, in the assessment of ankle functional recovery, AOFAS score was selected as an assessment tool. The results showed that after nursing, the AOFAS score of the observation group and the control group were (90.63±6.25) points and (85.27±6.19) points, respectively, and the AOFAS score of the observation group was higher (P < 0.05).
Conclusion   The implementation of standardized nursing procedures combined with detailed nursing for patients with foot and ankle fractures can improve exercise compliance and self-care ability, and contribute to the recovery of ankle joint function.