田力 刘冰 于文婷 段清爽

[摘要]目的 探讨综合护理干预对妊娠期骨折患者依从性及康复效果的影响。方法 将2015年2月～2018年2月我院骨科收治的32例妊娠期骨折患者作为研究对象，根据患者入院时间不同，将其分为对照组（n=15）和观察组（n=17）。对照组患者采取常规护理方法，观察组患者进行综合护理干预。比较两组患者的护理依从性、住院阶段的并发生发生情况、住院时间和护理满意度。结果 观察组患者的护理依从性评分高于对照组，并发症总发生率低于对照组，住院时间短于对照组，总满意度高于对照组，差异均有统计学意义（P<0.05）。结论 综合护理干预可有效提高妊娠期骨折患者的依从性和康复效果。

[关键词]妊娠；骨折；综合护理；依从性；康复效果

[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721（2018）12（c）-0178-03

[Abstract] Objective To discuss the influence of comprehensive nursing intervention on compliance and rehabilitation effect of patients with fracture at gestation period. Methods From February 2015 to February 2018， 32 patients with fracture at gestation period treated in department of orthopedics of our hospital were selected as study objects. According to the different time of patients′ admission time， they were divided into the control group （n=15） and observation group （n=17）. The patients in the control group were given with the routine nursing methods， while the patients in the observation group were given the comprehensive nursing intervention. The nursing compliance， the incidence of complications in hospitalization stage， hospitalization time and the satisfaction degree of nursing were compared in patients between the two groups. Results The nursing compliance scores of the observation group were higher than those of the control group， the total incidence of complications was lower than that of the control group， the hospitalization time was shorter than that of the control group， and the total satisfaction degree of nursing in the observation group was higher than that of the control group， and the differences were statistically significant （P<0.05）. Conclusion Comprehensive nursing intervention can effectively improve the compliance and rehabilitation effect of patients with fracture at gestation period.

[Key words] Pregnancy； Fracture； Comprehensive nursing； Compliance； Rehabilitation effect

在妊娠期間，孕妇对自身的行为行动都非常小心谨慎，均会有意地放慢动作幅度，降低运动强度。但部分孕妇由于长时间出现食欲不佳和恶心呕吐等情况，导致钙摄入量明显不足。此时一旦出现如摔伤和跌伤等情况，则可能引发骨折。对于一般的骨折患者来说，经过手术或复位治疗，均可以达到良好的治疗效果。但孕妇则不同，因为除了骨折方面的检查、治疗和康复外，孕妇更担心胎儿的生长发育，因此心理压力明显高于普通的骨折患者，严重增加了患者的治疗难度[1-3]。为了有效解决这一问题，我院骨科对妊娠期骨折患者进行综合护理干预，重点从心理护理、健康宣教、疼痛护理、患肢护理、舒适护理和床上运动指导等方面展开，初步取得了预想的护理效果。……