Application effect of postoperative rehabilitation nursing intervention in patients with hallux valgus correction surgery
术后康复护理干预在拇外翻矫形手术患者中的应用效用观察

摘要

目的 探讨术后康复护理干预在拇外翻矫形手术患者中的应用效果。方法 以2019年5月至2022年5月医院收治的40例拇外翻住院患者为研究对象，所有患者均行矫形手术治疗。术后将所有患者随机分为两组，每组各20例，对照组行常规护理干预，研究组在常规护理基础上行康复护理干预。比较两组护理干预前后疼痛VAS评分、拇趾-跖趾关节功能评分（AOFAS）评分、焦虑（HAMA）评分、抑郁（HAMD）评分、生活质量（SF-36）评分及并发症发生情况。结果 与护理前比较，护理后两组疼痛VAS评分、HAMA评分、HAMD评分均降低，拇趾-跖趾关节功能评分AOFAS评分、生活质量SF-36评分均升高（P＜0.05）；护理后，研究组疼痛VAS评分、HAMA评分、HAMD评分及并发症发生率均低于对照组，拇趾-跖趾关节功能评分AOFAS评分、生活质量SF-36评分均高于对照组（P＜0.05）。结论 术后康复护理干预对拇外翻矫形手术患者有积极影响，能在一定程度上减轻患者疼痛程度和心理负面情绪，还可以提高患者拇趾-跖趾关节功能评分和生活质量，降低并发症发生风险。

Abstract

Objective: To explore the effect of postoperative rehabilitation nursing intervention in patients with hallux valgus correction surgery.
Methods: A total of 40 patients with hallux valgus admitted to the hospital from May 2019 to May 2022 were selected as the research objects. All patients were treated with orthopetic surgery. All patients were randomly divided into two groups, 20 cases in each group. The control group received routine nursing intervention, and the study group received rehabilitation nursing intervention on the basis of routine nursing. The VAS score, hallux metatarsophalangeal joint function score (AOFAS) score, anxiety score (HAMA) score, depression score (HAMD) score, quality of life (SF-36) score and complications were compared between the two groups before and after nursing intervention.
Results: Compared with before nursing, VAS score, HAMA score and HAMD score of pain in the two groups after nursing were decreased, and AOFAS score and SF-36 score of hallux and metatarsophalangeal joint function score were increased (P < 0.05). After nursing, the pain VAS score, HAMA score, HAMD score and incidence of complications in the study group were lower than those in the control group, and the hallux metatarsophalangeal joint function score AOFAS score and quality of life SF-36 score were higher than those in the control group (P < 0.05).
Conclusion  : Postoperative rehabilitation nursing intervention has a positive impact on patients with hallux valgus correction surgery, which can reduce the degree of pain and psychological negative emotions of patients to a certain extent, improve the hallux metatarsophalangeal joint function score and quality of life of patients, and reduce the risk of complications.