早期康复护理干预对儿童骨折预后的影响

目的探讨早期康复护理干预对儿童肱骨髁上骨折治疗预后的影响。方法 80例肱骨髁上骨折患儿随机平分为治疗组和对照组各40例,2组都按肱骨髁上骨折复位固定后常规护理,治疗组在此基础上则针对不同的固定方式采取有效的个性化护理干预。结果经过治疗护理后,治疗组患儿肘关节功能恢复的优良率明显高于对照组(P<0.05);同时也提高了患儿家属的满意度。结论早期康复护理干预可提高肘关节功能恢复优良率,也有利于家属的护理配合,从而促进患儿早日康复。     

早期康复护理干预对儿童骨折预后的影响

目的探讨早期康复护理干预对儿童肱骨髁上骨折治疗颓后的影响。方法80例肱骨髁上骨折惠儿随机平分为治疗组和对照组各40例，2组都按肱骨髁上骨折复位固定后常规护理，治疗组在此基础上则针对不同的固定方式采取有效的个性化护理干预。结果经过治疗护理后，治疗组患儿肘关节功能恢复的优良率明显高于对照组（P〈0．05）；同时也提高了患儿家属的满意度。结论早期康复护理干预可提高肘关节功能恢复优良率，也有利于家属的护理配合，从而促进患儿早日康复。     

术后康复锻炼预防肱骨髁上骨折患儿肘内翻畸形的疗效

目的探讨术后康复锻炼预防肱骨髁上骨折患儿肘内翻的效果。方法将肱骨髁上骨折患儿85例的骨折部位行手法复位后随机分为对照组44例和观察组41例,两组患儿术后均进行常规康复锻炼,观察组患儿在康复锻炼的基础上给予肘关节外翻训练,观察两组患儿的治疗效果。结果观察组患儿治疗有效率为92.68%,对照组患儿治疗有效率为75.00%,两组差异有统计学意义(P0.05);经康复锻炼后,观察组患儿提携角角度明显低于对照组,活动度高于对照组,差异均有统计学意义(P0.05)。康复锻炼后随访2年,观察组中2例患儿发生肘内翻,发生率为4.87%;对照组中12例患儿发生肘内翻,发生率为27.27%,两组差异有统计学意义(P0.05)。结论术后进行肘外翻康复锻炼可以有效促进肱骨髁上骨折患儿肘关节提携角及活动度的恢复,减少肘内翻畸形的发生,具有一定的预防作用。     

屈肘摆动康复训练对儿童肱骨髁上骨折术后肘关节功能恢复的影响研究

目的观察屈肘摆动康复训练对儿童肱骨髁上骨折术后肘关节功能恢复的影响。方法选取2013年1月至2018年6月我院收治的42例肱骨髁上骨折患儿,年龄3~12岁,均实施闭合复位经皮交叉克氏针内固定联合外固定术。依据入院时间分为实验组和对照组各21例。对照组术后实施常规治疗干预,实验组在对照组基础上进行屈肘摆动康复训练。比较两组患儿治疗前后的肘关节功能Mayo评分及肘关节旋前、旋后度数。结果治疗3个月、 6个月、 12个月后,实验组的肘关节功能Mayo评分显著高于对照组,肘关节旋前、旋后度数均显著高于对照组(P均<0.05)。结论屈肘摆动康复训练能够显著恢复患儿肱骨髁上骨折术后肘关节功能,改善肘关节活动度。     

空气压力波对肱骨髁上骨折术后肘关节功能恢复的影响

目的探讨肱骨髁上骨折术后空气压力波早期干预与常规康复训练相结合对肘关节功能恢复的治疗效果。方法将80例GartlandⅢ型伸直型肱骨髁上骨折患儿随机分为观察组40例和对照组40例。两组患者均在手术后采用常规康复训练,观察组在常规康复训练的同时早期加用空气压力波治疗。采用Mayo肘关节功能评分比较两组患者术后4、8、12周肘关节功能恢复情况。结果在术后4、8周,观察组综合评分(45.04±2.55和90.04±1.33)高于对照组(40.13±1.23和84.15±1.69),观察组肘关节活动度(92.3±2.4和118.3±3.9)优于对照组(83.8±3.1和106.5±2.8),两组差异有统计学意义(P<0.05)。结论儿童GartlandⅢ型伸直型肱骨髁上骨折术后,早期采用空气压力波结合常规康复训练治疗,可促进肘关节功能的恢复。     

闭合复位经皮克氏针内固定联合早期康复训练治疗儿童肱骨髁上骨折对肘关节功能的影响

目的 探讨闭合复位经皮克氏针内固定联合早期康复训练治疗儿童肱骨髁上骨折(SFH)对肘关节功能的影响。方法 选取2017年8月—2022年8月丽水市中心医院收治的SFH儿童100例为研究对象，采取随机数字表法将患儿分为对照组和观察组，每组各50例。两组患儿均接受闭合复位经皮克氏针内固定治疗，对照组患儿在此基础上额外接受常规康复训练，观察组患儿在此基础上额外接受早期康复训练。对比两组患儿疼痛(VAS)评分、康复情况、肘关节功能及术后并发症。结果 两组患儿基线资料比较，差异均无统计学意义(均P>0.05)。两组患儿术后7 d和14 d VAS评分与术后1 d比较均有所降低。观察组患儿术后7 d和14 d VAS评分[(6.02±1.46)分、(5.08±1.62)分]均低于对照组[(6.86±1.52)分、(5.72±1.37)分],差异均有统计学意义(t=2.818、2.133,均P<0.05)。观察组患儿骨折愈合时间[(3.62±0.64)周]显著低于对照组[(4.16±0.78)周],差异有统计学意义(t=3.784,P<0.05)。两组患儿术后1 d肘关节功能评分(...     

赏识教育对学龄前儿童肱骨髁上骨折功能锻炼依从性的研究

目的探讨赏识教育对学龄前儿童肱骨髁上骨折功能锻炼依从性的影响。方法选取2013年3月至2015年3月在我科住院的3~6岁选择接受手法复位、闭合穿针高分子石膏外固定治疗的肱骨髁上骨折患儿100例,按入院顺序随机分为观察组和对照组各50例,对照组采用传统的方法,观察组在传统方法的基础上引入赏识教育,比较两组功能锻炼的依从性。结果观察组患儿总依从性为96%,显著高于对照组的70%(P<0.05)。观察组患儿肢体疼痛天数和肢体肿胀程度均显著优于对照组(P<0.05)。结论赏识教育能有效地提高患儿对功能锻炼的依从性,促进伤肢血液循环,减轻疼痛及肿胀,提高治疗效果,提高儿童的生活质量。     

肱骨髁上骨折患儿应用儿童互助模式的效果

目的探讨肱骨髁上骨折患儿应用儿童互助模式对其肘关节功能影响。方法将选取的59例肱骨踝上骨折的患儿,按随机数字表法将其分为对照组29例和观察组30例,对照组给予常规健康教育,观察组在对照组的基础上给予儿童互助模式的健康教育。干预24周后比较两组肘关节功能。结果干预前,两组患儿关节活动范围、疼痛、肿胀及生活自理能力Mayo评分比较,差异无统计学意义(P0.05);干预后,观察组关节活动范围、疼痛、肿胀及生活自理能力Mayo评分低于对照组,差异均有统计学意义(P0.05)。干预前,两组患儿背屈、屈曲、旋前和旋后的肘关节活动度比较,差异无统计学意义(P0.05);干预后,观察组背屈、屈曲、旋前和旋后的肘关节活动度均高于对照组,差异均有统计学意义(P0.05)。结论儿童互助模式应用于肱骨踝上骨折患儿中能降低患儿肘关节活动范围、疼痛、肿胀及生活自理能力评分,提高患儿肘关节背屈、屈曲、旋前和旋后的活动度。     

经皮桡侧克氏针内固定治疗儿童肱骨髁上骨折的临床观察

目的:探讨闭合复位经皮桡侧克氏针内固定治疗儿童肱骨髁上骨折的临床效果。方法:选取2016年1～2018年12月收治的儿童肱骨髁上骨折70例作为研究对象,按随机数字表法分为观察组和对照组各35例,对照组采用尺侧小切口闭合复位交叉克氏针内固定治疗,观察组则采用闭合复位经皮桡侧克氏针内固定治疗,观察两组患儿骨折愈合时间、肘关节功能及术后并发症发生率。结果:观察组优良率为88.6%,高于对照组的74.2%,差异有统计学意义(P0.05),两组患儿术后骨折愈合时间比较差异无统计学意义(P0.05),观察组肘关节功能优于对照组(P0.05),并发症发生率低于对照组,差异有统计学意义(P0.05)。结论:闭合复位经皮桡侧克氏针内固定治疗儿童肱骨髁上骨折疗效显著,具有创伤小、骨折复位稳定性好、功能恢复快、术后并发症少等优点,是治疗儿童肱骨髁上骨折的一种较好方法。     

加速康复外科理念在儿童肱骨髁上骨折中的应用

目的探讨加速康复外科护理在儿童肱骨髁上骨折中的临床效果。方法回顾性分析2016年1月-2017年12月天津市河西区柳林医院住院治疗的肱骨髁上骨折患儿,将2017年1-12月应用加速康复外科护理的患儿41例作为观察组,2016年1-12月采用传统护理的患儿37例作为对照组,比较两组的并发症、住院时间、护理满意度和住院费用情况。结果观察组和对照组均未发生并发症。对照组住院时间长于观察组,对照组患者住院费用多于观察组,观察组的满意度高于对照组,差异均有统计学意义(P0.05)。结论加速康复外科护理在肱骨髁上骨折中应用虽然不能降低并发症,但能减少住院时间、增加护理满意度、降低费用,值得推广应用。     

Perceptions of cardiac rehabilitation patients, specialists and rehabilitation programs regarding cardiac rehabilitation wait times

ABSTRACT: BACKGROUND: In 2006, the Canadian Cardiovascular Society (CCS) Access to Care Working Group recommended a 30-day wait time benchmark for cardiac rehabilitation (CR). The objectives of the current study were to: (1) describe cardiac patient perceptions of actual and ideal CR wait times, (2) describe and compare cardiac specialist and CR program perceptions of wait times, as well as whether the recommendations are appropriate and feasible, and (3) investigate actual wait times and factors that CR programs perceive to affect these wait times. METHODS: Postal and online surveys to assess perceptions of CR wait times were administered to CR enrollees at intake into 1 of 8 programs, all CCS member cardiac specialists treating patients indicated for CR, and all CR programs listed in Canadian directories. Actual wait times were ascertained from the Canadian Cardiac Rehabilitation Registry. The design was cross-sectional. Responses were described and compared. RESULTS: Responses were received from 163 CR enrollees, 71 cardiac specialists (9.3% response rate), and 92 CR programs (61.7% response rate). Patients reported that their wait time from hospital discharge to CR initiation was 65.6 [PLUS-MINUS SIGN] 88.4 days (median, 42 days), while their ideal median wait time was 28 days. Most patients (91.5%) considered their wait to be acceptable, but ideal wait times varied significantly by the type of cardiac indication for CR. There were significant differences between specialist and program perceptions of the appropriate number of days to wait by most indications, with CR programs perceiving shorter waits as appropriate (p < 0.05). CR programs reported that feasible wait times were significantly longer than what was appropriate for all indications (p < 0.05). They perceived that patient travel and staff capacity were the main factors negatively affecting waits. The median wait time from referral to program initiation was 64 days (mean, 80.0 [PLUS-MINUS SIGN] 62.8 days), with no difference in wait by indication. CONCLUSIONS: Wait times for access to cardiac rehabilitation are prolonged compared with consensus recommendations, and yet are generally acceptable to most patients. Wait times for percutaneous coronary intervention in particular may need to be shortened. Future research is required to provide an evidence base for wait time benchmarks.     

Evaluation of medical rehabilitation in community based rehabilitation.

Almost all governments and non-governmental organisations in developing countries use a community-based rehabilitation (CBR) approach to work with disabled people. Although disabled people's organisations reject the categorisation of disability in individual terms, 'medical rehabilitation' is still regarded as an important but time limited process within rehabilitation. The paper lists measures and methods used in a comprehensive evaluation, and presents a practical method to examine the quality of medical rehabilitation. The method was developed and applied in an evaluation of service needs and service provision for disabled people in low-income communities, for the Ministry of Welfare, Government of India. The method described is a tracer approach. It assesses quality in three aspects of medical rehabilitation: (i) Technical quality, based on application of minimum technical standards for each impairment. (ii) Interpersonal quality, by observation of service sessions and interviews with service users. (iii) Management (structural) quality, by comparing the rehabilitation goals of service users and service providers. The method differs from most others in that it is process oriented, as opposed to output oriented. The method meets the challenges of providing low-cost assessment of a difficult outcome measure (the quality of medical rehabilitation), within a complex process (CBR). It is anticipated that the tracer method will be useful to the objective evaluation of disability services throughout the developing world.     

产后康复操对产褥期妇女康复的影响研究

目的：探讨在分娩24h后行产后康复体操训练对产褥期妇女机体各器官康复的影响。方法：选择180例经阴道自然分娩且无并发症的初产妇,随机分为两组：实验组产后24h行产后康复操,对照组按传统方法实施产后护理;两组分别于产后5天、产褥期满（产后42天）和产后6个月进行对比评定。结果：实验组的产妇子宫脱垂的发生率明显低于对照组（P〈0.01）;子宫复旧不良、张力性尿失禁、膀胱膨出、腰骶痛的发生率均比对照组低（P〈0.05）;体重的恢复亦明显优于对照组（P〈0.05）。结论：产后康复操有利于妇女产后康复,可减少诸多并发症的发生,从而提高产后妇女的生存质量。     

Cancer rehabilitation

Cancer rehabilitation is a relatively new subspecialty. Its goal is to help patients who have been diagnosed with cancer minimize the physical effects of treatment and disease and regain control over many aspects of their life. This article introduces the concept of cancer rehabilitation and offers examples from a Minnesota clinic of how it can benefit patients at different stages of treatment.