FTS 理念的护理干预对跟骨骨折患者术后康复锻炼依从性及VAS 评分的影响

目的 探讨快速康复外科（FTS）理念的护理干预在跟骨骨折患者中应用效果。方法选取我院跟骨骨折患者 67 例，将 2016 年 6 月~2017 年 4 月 33 例患者作为对照组实施同期门诊治疗护理，将 2017 年 5 月~2018 年 1 月 34 例患者作为观察组（于对照组基础上进行 FTS 理念的护理干预），比较两组康复锻炼依从性及术后不同时间点（术后1 d、2 d、3 d）疼痛程度（VAS）评分，并统计两组护理满意度。结果 观察组康复锻炼总依从率为 91.18%（31/34），高于对照组 69.70%（23/33）（P<0.05）；术后 1 d、2 d、3 d 观察组 VAS 评分低于对照组（P<0.05）；观察组护理满意度为94.12%（32/34），高于对照组72.73%（24/33）（P<0.05）。结论 FTS 理念的护理干预可提高跟骨骨折患者术后康复锻炼依从性，减轻术后疼痛，提高护理满意度。

Effect of FTS concept nursing intervention on postoperative rehabilitation exercise compliance and VAS scores in patients with calcaneus fractures

Objective To explore the effect of concept of fast tract surgery（FTS）in nursing intervention of patients with calcaneus fractures. Methods Sixtyseven patients with calcaneus fractures in our hospital were enrolled. Of them，33 patients（control group）in April 2016 to June 2017 were treated as outpatient treatment and nursing in the same period，while 34 patients from May 2017 to January 2018 were used as observation group who received nursing intervention based on the FTS concept. The rehabilitation exercise compliance，the pain sensation（VAS grade）at different time points（1 d，2 d，3 d after surgery）and the satisfaction were compared between the two groups. Results First，the total compliance rate of rehabilitation exercise in the observation group was 91.18%（31/34），which was higher than control group（69.70%（23/33），P<0.05）. Second，the VAS grade of the observation group were lower than control group at 1 day，2 days，and 3 days after operation（P<0.05）. Third，the nursing satisfaction of the observation group was 94.12%（32/34），which was higher than control group（72.73%（24/33）（P<0.05）. Conclusion The nursing intervention based on the FTS concept can improve the compliance of postoperative rehabilitation exercise and reduce postoperative pain，thus improving the satisfaction of nursing.