2023年4月第30卷第4期主管护师主导的阶梯式居家康复教育在老年胫骨骨折内固定术后患者中的应用朱文苏，刘秀珍（河南省舞阳县中心医院骨科，河南漯河462400）【摘要】目的探讨主管护师主导的阶梯式居家康复教育在老年胫骨骨折内固定术后患者中的应用效果。方法选取2019年2月至2021年3月在我院行胫骨骨折内固定术治疗的55例老年患者，依据出院后居家康复教育方式的不同分为对照组（33例）与观察组（32例）。对照组给予常规居家康复教育，观察组给予主管护师主导的阶梯式居家康复教育。比较两组的骨折愈合时间及干预后的膝关节功能（Lysholm膝关节量表）。结果观察组的骨折愈合时间为（49．59±3．41）d，显著短于对照组的（55．12±4．06）d（P＜0．05）。干预后，观察组的Lysholm膝关节量表各维度评分均显著高于对照组（P＜0．05）。结论主管护师主导的阶梯式居家康复教育可显著缩短老年胫骨骨折内固定术后患者的骨折愈合时间，促进患者膝关节功能恢复。【关键词】主管护师；阶梯式居家康复教育；胫骨骨折；内固定术；老年患者中图分类号：R473.6文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.04.0555ApplicationofStep-by-StepHomeRehabilitationEducationLedbytheSupervisorNurseinElderlyPatientswithTibialFractureAfterInternalFixationZHUWensu,LIUXiuzhen(DepartmentofOrthopaedics,WuyangCountyCentralHospital,Luohe462400,China)[Abstract]ObjectiveToexploretheapplicationeffectofstep-by-stephomerehabilitationeducationledbythesupervisornurseinelderlypatientswithtibialfractureafterinternalfixation.Methods55elderlypatientswithtibialfracturewhounderwentinternalfixationinourhospitalfromFebruary2019toMarch2021wereselectedanddividedintothecontrolgroup(33cases)andtheobservationgroup(32cases)accordingtodifferentwaysofhomerehabilitationeducationafterdischarge.Thecontrolgroupwasgivenroutinehomerehabilitationeducation,andtheobservationgroupwasgivenstep-by-stephomerehabilitationeducationledbythesupervisornurse.Thefracturehealingtimeandkneefunction(Lysholmkneejointscale)afterinterventionwerecomparedbetweenthetwogroups.ResultsThefracturehealingtimeintheobservationgroupwas(49.59±3.41)d,significantlyshorterthan(55.12±4.06)dinthecontrolgroup(P<0.05).Afterintervention,thesc...
