康复护理干预在开放性下肢骨折患者中的应用效果研究
Study on the Application Effect of Rehabilitation Nursing Intervention in Patients with Open Fracture of Lower Extremity
摘要: 目的：探讨康复护理干预在开放性下肢骨折患者中的应用效果。方法：选取2022年2月至2025年10月在我院创伤骨科住院治疗的120例开放性下肢骨折患者为研究对象，随机分为观察组(60例)和对照组(60例)。对照组接受常规围术期护理，观察组在对照组基础上实施系统化康复护理干预，包括心理干预、多模式镇痛、早期功能康复训练、并发症预防及延续性护理。比较两组患者术后住院时间、心理状态、疼痛程度、骨折愈合时间及并发症发生率。结果：观察组术后住院时间显著短于对照组(P < 0.05)；干预后观察组SAS评分显著低于对照组(P < 0.05)；观察组术后24 h、48 h、72 h NRS疼痛评分均显著低于对照组(P < 0.05)；观察组骨折愈合时间显著短于对照组(P < 0.05)；观察组术后并发症总发生率为6.67%，显著低于对照组的21.67% (P < 0.05)。结论：康复护理干预可有效缓解开放性下肢骨折患者术后焦虑情绪，减轻术后疼痛，缩短骨折愈合时间和住院时间，降低并发症发生率，促进肢体功能恢复，具有较高的临床应用价值。
Abstract: Objective: To explore the application effect of rehabilitation nursing intervention in patients with open lower limb fracture. Methods: A total of 120 patients with open lower limb fractures admitted to the Department of Traumatic Orthopedics of our hospital from February 2022 to October 2025 were selected as the study subjects and randomly divided into an observation group (60 cases) and a control group (60 cases). The control group received conventional perioperative care, while the observation group received systematic rehabilitation nursing interventions in addition to the control group’s routine care, including psychological intervention, multimodal analgesia, early functional rehabilitation training, complication prevention, and continuous nursing. The postoperative hospitalization duration, psychological status, pain intensity, fracture healing time, and complication incidence were compared between the two groups. Results: The observation group exhibited significantly shorter postoperative hospitalization duration compared to the control group (P < 0.05). After intervention, the SAS score in the observation group was significantly lower than that in the control group (P < 0.05). The NRS pain scores at 24 h, 48 h, and 72 h postoperatively in the observation group were significantly lower than those in the control group (P < 0.05). The fracture healing time in the observation group was significantly shorter than that in the control group (P < 0.05). The overall incidence of postoperative complications in the observation group was 6.67%, significantly lower than the 21.67% in the control group (P < 0.05). Conclusion: Rehabilitation nursing intervention can effectively alleviate postoperative anxiety in patients with open lower limb fractures, reduce postoperative pain, shorten fracture healing time and hospitalization duration, lower the incidence of complications, and promote limb function recovery, demonstrating significant clinical application value.
文章引用：吕晓霞. 康复护理干预在开放性下肢骨折患者中的应用效果研究[J]. 临床医学进展, 2026, 16(4): 1577-1584. https://doi.org/10.12677/acm.2026.1641393

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