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Application of Doctor-Nurse-Patient Co-Decision-Making Nursing Intervention Based on Evidence-Based Problems in the Rehabilitation of Acute Ankle Lateral Collateral Ligament Injury
Emergency Medicine International ( IF 1.2 ) Pub Date : 2022-08-19 , DOI: 10.1155/2022/2363230
Nian Wei 1 , Yuehui Du 1 , Shiyu Chen 1
Affiliation  

Objective. The aim of this study is to study the application effects of doctor-nurse-patient co-decision-making nursing intervention based on evidence-based problems in the rehabilitation of acute ankle lateral collateral ligament injury. Methods. 150 patients with acute ankle lateral collateral ligament injury who were treated in the hospital between December 2020 and December 2021 were selected, and they were divided into the routine group and the evidence-based group by the random number table method, with 75 cases in each group. The patients in the routine group received routine nursing intervention, while the patients in the evidence-based group adopted doctor-nurse-patient co-decision-making nursing intervention based on evidence-based problems, and both groups were intervened for 1 month. The rehabilitation time (swelling subsidence time, fixation removal time, and normal walking time), ankle active range of motion (dorsiflexion and plantar flexion), ankle function (ankle Kofoed score) before and after intervention, and the total incidence rate of complications (tendon injury, ankylosis, and traumatic arthritis) within 1 month of intervention were compared between the two groups of patients. Results. The swelling subsidence time, fixed removal time, and normal walking time in the evidence-based group were significantly shorter than those in the routine group (). After 1 month of intervention, the ranges of motion of dorsiflexion and plantar flexion and ankle Kofoed scores of the two groups were significantly higher than those before intervention, and the abovementioned indicators in the evidence-based group were significantly higher than those in the routine group (). Within 1 month of intervention, the total incidence rate of tendon injury, ankylosis, and traumatic arthritis was significantly lower in the evidence-based group than that in the routine group (). Conclusion. Nursing intervention of doctor-nurse-patient co-decision-making based on evidence-based problems in patients with acute ankle lateral collateral ligament injury can promote postoperative rehabilitation and restore the ankle function of patients.

中文翻译:

基于循证问题的医护患共同决策护理干预在急性踝关节外侧副韧带损伤康复中的应用

客观。本研究旨在探讨基于循证问题的医护患共同决策护理干预在急性踝关节外侧副韧带损伤康复中的应用效果。方法. 选取2020年12月至2021年12月在我院收治的急性踝关节外侧副韧带损伤患者150例,采用随机数字表法分为常规组和循证组,每组75例。团体。常规组患者接受常规护理干预,循证组患者根据循证问题采取医护患共同决策护理干预,两组均干预1个月。干预前后康复时间(肿胀下沉时间、内固定物拆除时间、正常行走时间)、踝关节活动度(背屈、跖屈)、踝关节功能(踝关节Kofoed评分)、并发症总发生率(肌腱损伤,结果。循证组肿胀消退时间、固定取出时间、正常行走时间均明显短于常规组。)。干预1个月后,两组的背屈、跖屈活动度及踝关节Kofoed评分均显着高于干预前,且循证组上述指标均显着高于常规组()。干预1个月内,循证组肌腱损伤、强直、外伤性关节炎的总发生率明显低于常规组。)。 结论。基于循证问题的医护患共同决策护理干预对急性踝关节外侧副韧带损伤患者可促进术后康复,恢复患者踝关节功能。
更新日期:2022-08-19
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