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外科研究与新技术（中英文）

外科研究与新技术（中英文） ›› 2024, Vol. 13 ›› Issue (1): 80-82.doi: 10.3969/j.issn.2095-378X.2024.01.020

• 护理园地 • 上一篇    下一篇

基于ERAS理念的多维度支持干预对跟骨骨折患者术后训练依从性、疼痛及关节功能康复影响分析

赵海燕1, 李霞2   

  1. 1.北京积水潭医院贵州医院（贵州省骨科医院）足踝外科, 贵州 贵阳 550014;
    2.北京积水潭医院贵州医院（贵州省骨科医院）创伤外科, 贵州 贵阳 550014
  • 收稿日期:2023-09-27 出版日期:2024-03-28 发布日期:2024-04-12
  • 通讯作者: 李 霞,电子邮箱：914303195@qq.com

Influences of multidimensional support intervention based on ERAS on postoperative training compliance, pain, and joint function rehabilitation in patients with calcaneal fractures

ZHAO Haiyan1, LI Xia2   

  1. 1. Department of Foot and Ankle Surgery, Beijing Jishuitan Hospital Guizhou Hospital, Guizhou Orthopaedic Hospital, Guiyang 550014, Guizhou, China;
    2. Department of Trauma Surgery, Beijing Jishuitan Hospital Guizhou Hospital, Guizhou Orthopaedic Hospital, Guiyang 550014, Guizhou, China
  • Received:2023-09-27 Online:2024-03-28 Published:2024-04-12

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摘要： 目的 观察基于加速康复外科（ERAS）理念的多维度支持干预对跟骨骨折患者术后恢复的影响。方法 将2022年2月—2023年9月期间接受手术治疗的53例跟骨骨折患者纳入研究,采用随机数表法分为对照组（n=26,常规护理干预）和观察组（n=27,基于ERAS理念的多维度支持干预）。对比两组患者干预前后训练依从性、疼痛程度[采用口述分级评分法（VRS）评估]和关节功能[采用美国足与踝关节协会（AOFAS）踝-后足评分]。结果 干预后,观察组的依从性评分和AOFAS踝-后足评分均高于对照组,VRS评分均低于对照组（P<0.05）。结论 基于ERAS理念的多维度支持干预可提升跟骨骨折患者术后训练依从性,有效缓解术后疼痛,对促进关节功能康复有积极意义。

关键词: 加速康复外科, 多维度支持干预, 跟骨骨折

Abstract: Objective To observe the effects of multidimensional support intervention based on the concept of enhanced recovery after surgery （ERAS） on recovery of patients after calcaneal fracture surgery. Methods A total of 53 patients with calcaneal fractures who underwent surgical treatment from February 2022 to September 2023 were included in the study. They were randomly divided into a control group （n=26, conventional nursing intervention） and an observation group （n=27, multidimensional support intervention based on the concept of ERAS） by random number table method. The compliance with training, pain level （verbal rating scale, VRS）, and joint function [American Orthopaedic Foot & Ankle Society （AOFAS） ankle-posterior foot score] were compared between the two groups before and after intervention. Results After intervention, the compliance score and AOFAS ankle-posterior foot score in the observation group were higher than those in the control group, while the VRS score was lower （P<0.05）. Conclusion Multidimensional support intervention based on the REAS concept can improve the compliance of patients with calcaneal fractures in postoperative training, effectively alleviate postoperative pain, and have positive effects on promoting joint function rehabilitation.

Key words: Enhanced recovery after surgery, Multidimensional support intervention, Calcaneal fracture

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