Objective To discuss the effect of nursing intervention on the knee joint function and pain after internal fixation of fracture of femoral shaft. Methods 86 cases with fracture of femoral shaft treated by internal fixation in our hospital from April 2012 to February 2014 were selected as the subjects and divided into the conventional nursing group and targeted nursing group with 43 cases in each in accordance with the different nursing method. The conventional nursing group were given the general nursing, while the targeted nursing group were given the targeted nursing for intervention. And the effect of nursing intervention on the knee joint function and pain after internal fixation of fracture of femoral shaft was compared between the two groups. Results The comparison of the nursing effect between the two groups showed that, in the conventional nursing group, the nursing effect was excellent in 35 cases(81.40%), good in 2 cases(4.65%), fair in 4 cases(9.30%), poor in 2 cases(4.65%), excellent and good in 37 cases, the excellent and good rate was 86.05%; in the targeted nursing group, the nursing effect was excellent in 39 cases (90.70%), good in 2 cases (4.65%), fair in 2 cases (4.65%), poor in 0 case, excellent and good in 41 cases, the excellent and good rate was 95.34%, the nursing efficacy of the targeted nursing group was much better than that of the conventional nursing group, the difference was statistically significant. At the same time, the visual analogue score (VAS) and hospital for special surgery knee score(HSS) of the two groups were recorded. Conclusion For patients with fracture of femoral shaft treated by internal fixation, tar-geted nursing intervention has remarkable clinical nursing effect, which can effectively alleviate the suffering, accelerate the recov-ery of knee joint function, reduce the postoperative pain and improve the quality of life.%目的：探讨股骨干骨折内固定术后患者采用护理干预对膝关节功能和疼痛的影响。方法选取该院于2012年4月—2014年2月间收治的采用内固定术治疗的股骨干骨折患者86例为研究对象，按照其护理方式的不同，分为常规护理组和针对护理干预组，每组各43例，其中，常规护理组患者采用普通护理方式，针对护理组患者采用针对性的护理措施进行干预，比较两组护理干预对股骨干骨折患者内固定术后膝关节功能与疼痛的影响。结果两组患者护理效果相比，常规护理组优35例（81.40%），良2例（4.65%），一般4例（9.30%），差2例（4.65%），优良率为37例（86.05%）；针对护理组优39例（90.70%），良2例（4.65%），一般2例（4.65%），差0例，优良率为41例（95.34%），针对护理组的护理效果明显优于常规护理组，且差异明显，具有统计学意义。同时，记录两组患者的VAS评分值（视觉模拟疼痛评分法）及HSS评分值（膝关节损伤标准评分法）。结论对股骨干骨折患者在内固定术后采用针对性的护理措施干预可有效减轻患者痛苦，加快患者膝关节功能的恢复，降低患者术后疼痛，提高患者生活质量，临床护理效果显著。
展开▼
