延续护理对臀肌挛缩症患者功能训练效果的影响

摘要

目的：探讨延续护理对臀肌挛缩症患者出院后功能训练效果的影响。方法选择2013年7月~2014年10月来西安交通大学第二附属医院骨科行手术治疗的64例臀肌挛缩症患者作为研究对象,将其随机分为对照组和观察组,各32例。对照组在患者出院时只作常规出院指导,告知复诊时间,患者可根据自己的情况确定来院复诊；观察组在出院后接受延续护理方案,采用电话随访、门诊复诊、网络联系、上门随访等方式动态观察、了解患者出院后的功能训练情况,并给予及时有效的指导。结果观察组和对照组完成“一字步”行走训练例数比较(32例比31例),差异无统计学意义(P跃0.05),但观察组患者在伤口甲级愈合例数(31例比27例,字2=4.01,P<0.05)、并膝下蹲合格例数(31例比26例,字2=4.01,P<0.05)、完成跷腿动作例数(30例比23例,字2=5.38,P<0.05)以及术后疗效满意度(100.0%比87.5%,字2=6.21,P<0.05)方面均明显优于对照组。结论延续护理能有效改善臀肌挛缩症患者功能训练效果,减少并发症,提高患者满意度。%Objective To investigate the effect of continued care on functional training of discharged patients with gluteal muscle contracture. Methods Sixty four cases of patients with gluteal muscle contracture who took surgery in Department of Orthopedics, the Second Affiliated Hospital of Xi'an Jiaotong University from July 2013 to October 2014 were selected as research objects and they were randomly divided into control group and observation group, with 32 cases in each group. Control group only received routine discharge guidance when discharged, and they were told the subsequent visit time, patients could come for follow-up according to their own time. Observation group received con-tinued care plan after discharge, the functional training conditions after discharge were observed and known by the ways of phone follow-up, outpatient subsequent visits, internet contact, home follow-up, and so on, and they were given timely and effective guidance. Results There was no significant difference between observation group and control group in "catwalk training" (32 cases v s 31 cases, P>0.05). But the best wound healing cases (31 cases v s 27 cases, χ²=4.01, P<0.05), knee squat qualified cases (31 cases v s 26 cases,χ²=4.01, P<0.05), finishing crossed leg actions cas-es (30 cases v s 23 cases, χ²=5.38, P< 0.05) and postoperative efficacy satisfaction (100.0% v s 87.5%, χ²=6.21, P<0.05) in the observation group were all better than those of control group. Conclusion Continued care can effectively improve the functional training effect of patients with gluteal muscle contracture, decrease the complications, and obvi-ously enhance the satisfaction.