Volume 23 Issue 2
Feb.  2025
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YE Yang, CHEN Hezhen, WANG Yi, WANG Jianshun. Study on the effect of phased rehabilitation care based on the Green model in patients with unstable pelvic fractures[J]. Chinese Journal of General Practice, 2025, 23(2): 340-343. doi: 10.16766/j.cnki.issn.1674-4152.003899
Citation: YE Yang, CHEN Hezhen, WANG Yi, WANG Jianshun. Study on the effect of phased rehabilitation care based on the Green model in patients with unstable pelvic fractures[J]. Chinese Journal of General Practice, 2025, 23(2): 340-343. doi: 10.16766/j.cnki.issn.1674-4152.003899

Study on the effect of phased rehabilitation care based on the Green model in patients with unstable pelvic fractures

doi: 10.16766/j.cnki.issn.1674-4152.003899
Funds:

 2022KY209

 Y20220532

  • Received Date: 2024-07-10
    Available Online: 2025-03-27
  •   Objective   To explore the application effect of the phased rehabilitation care based on the Green model, and improve the rehabilitation effect of patients with unstable pelvic fractures.   Methods   A total of 62 patients with unstable pelvic fractures hospitalized in the Orthopedic Trauma Department of the 2nd Affiliated Hospital of Wenzhou Medical University hospital from July 2021 to July 2022 were collected as the control group, and 71 patients hospitalized from October 2022 to December 2023 were taken as the observation group. The control group implemented routine rehabilitation guidance, and the observation group adopted phased rehabilitation care based on the Green model. The time of first ambulation, hospital stay, incidence of lower extremity deep vein thrombosis during hospitalization, activities of daily living, and recovery of pelvic function were compared between the two groups.   Results   The first postoperative ambulation time and hospitalization time in the observation group were significantly less than those in the control group (P < 0.01). The incidence of deep vein thrombosis was 6/62 (9.7%) in the control group and 1/71 (1.4%) in the observation group, which was significant (χ2=4.539, P=0.033). There was no significant difference in the activities of daily living, and pelvic function of the two groups before discharge (P>0.05), and both in the observation group were significantly higher than that of the control group in 3 months and 6 months after surgery (P < 0.05).   Conclusion   The phased rehabilitation care based on the Green model can shorten the first ambulation time and hospitalization time, reduce the incidence of deep vein thrombosis, and improve the ability of daily living activities and the recovery status, which is worthy of clinical promotion and application.

     

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  • [1]
    崔鹏举. 双平面定位方法引导骶髂螺钉置入治疗骨盆不稳定骨折[D]. 济南: 山东大学, 2023.

    CUI P J. A biplanar positioning method to guide ilioscacral screw insertion for the treatment of unstable pelvic fractures[D]. Jinan: Shandong University, 2023.
    [2]
    刘涛, 孙海钰. 骨盆骨折诊疗进展[J]. 国际骨科学杂志, 2024, 45(1): 27-32.

    LIU T, SUN H Y. Progress in the diagnosis and treatment of pelvic fractures[J]. International Journal of Orthopaedics, 2024, 45(1): 27-32.
    [3]
    李想, 黄晨, 谢美明, 等. 骨盆骨折手术治疗进展[J]. 国际骨科学杂志, 2024, 45(3): 183-186.

    LI X, HUANG C, XIE M M, et al. Progress in the surgical treatment of pelvic fractures[J]. International Journal of Orthopaedics, 2024, 45(3): 183-186.
    [4]
    中国康复医学会骨与关节分会创伤骨科学组, 王金辉, 葛宇峰, 等. 骨科康复一体化模式下骨盆骨折围手术期康复治疗技术规范专家共识[J]. 中华创伤骨科杂志, 2021, 23(10): 829-836.

    Trauma and Bone Science Group, Bone and Joint Branch, Chinese Rehabilitation Medical Association, WANG J H, GE Y F, et al. Expert consensus on specifications for perioperative rehabilitation after pelvic fractures in light of integration of orthopedics and rehabilitation[J]. Chinese Journal of Orthopaedic Trauma, 2021, 23(10): 829-836.
    [5]
    游海玲. 基于格林模式的糖尿病视网膜病变患者健康教育方案的构建及应用研究[D]. 重庆: 重庆医科大学, 2023.

    YOU H L. Construction and applications study of health education program based on precede-proceed model for diabetic retinopathy patients[D]. Chongqing: Chongqing Medical University, 2023.
    [6]
    姜寒嫣, 吴可人. 基于格林模式的团队合作护理在胆囊手术中的应用效果[J]. 中华全科医学, 2024, 22(5): 887-891. doi: 10.16766/j.cnki.issn.1674-4152.003527

    JIANG H Y, WU K R. Effect of teamwork nursing based on the Green model in gallbladder surgery[J]. Chinese Journal of General Practice, 2024, 22(5): 887-891. doi: 10.16766/j.cnki.issn.1674-4152.003527
    [7]
    谢瑶, 李涓玉, 王习竹, 等. 格林模式在慢性病健康管理中的应用进展[J]. 职业与健康, 2024, 40(2): 279-283.

    XIE Y, LI J Y, WANG X Z, et al. Application progress of PRECEDE-PROCEED model in health management of chronic disease[J]. Occupation and Health, 2024, 40(2): 279-283.
    [8]
    黄瑞芳. 微信平台联合格林模式行连续康复护理对髋部骨折患者关节功能及生活自理能力的影响[J]. 医疗装备, 2023, 36(18): 158-161.

    HUANG R F. The effect of continuous rehabilitation nursing on the joint function of patients with hip fracture through Wechat platform and Green Mode[J]. Medical Equipment, 2023, 36(18): 158-161.
    [9]
    江利冰, 蒋守银, 赵小纲, 等. 世界急诊外科学会骨盆骨折分型及处理指南[J]. 中华急诊医学杂志, 2017, 26(3): 268-269.

    JIANG L B, JIANG S Y, ZHAO X G, et al. Guidelines for the classification and the management of pelvic fractures of the World Society of Emergency Surgery[J]. Chinese Journal of Emergency Medicine, 2017, 26(3): 268-269.
    [10]
    赵清斌, 李祖涛, 殷剑, 等. 腰髂固定联合经皮骨盆前环固定治疗垂直旋转不稳定型骨盆环骨折[J]. 生物骨科材料与临床研究, 2023, 20(6): 52-55.

    ZHAO Q B, LI Z T, YIN J, et al. Treatment of unstable pelvic ring injury by posterior lumbo-iliac fixation combined with minimally invasive percutaneous anterior pelvic ring internal fixation[J]. Orthopaedic Biomechanics Materials and Clinical Study, 2023, 20(6): 52-55.
    [11]
    徐练, 林旭, 吴超, 等. 两种内固定治疗骨盆前环骨折的疗效比较[J]. 临床骨科杂志, 2024, 27(3): 390-394.

    XU L, LIN X, WU C, et al. Comparison efficacy of two kinds of internal fixation for pelvic anterior ring fractures[J]. Journal of Clinical Orthopaedics, 2024, 27(3): 390-394.
    [12]
    杨艳霞, 宋琼, 周洁, 等. 格林模式联合自动化腹膜透析在容量超负荷腹膜透析患者中的应用[J]. 齐鲁护理杂志, 2024, 30(6): 141-144.

    YANG Y X, SONG Q, ZHOU J, et al. Application of Green mode combined with automated peritoneal dialysis in patients with volume overload peritoneal dialysis[J]. Journal of Qilu Nursing, 2024, 30(6): 141-144.
    [13]
    肖黎, 王辉, 汪雷, 等. 多元合作术后加速康复护理干预在骨盆骨折行骶髂固定患者围术期中的应用[J]. 现代医学, 2020, 48(3): 408-412.

    XIAO L, WANG H, WANG L, et al. Multivariate ERAS nursing intervention for patients with Tile C pelvic fractures undergoing Legency cMAS sacroiliac fixation[J]. Modern Medical Journal, 2020, 48(3): 408-412.
    [14]
    葛小艳. 基于加速康复外科理念的护理方案在骨盆骨折围术期中的应用[J]. 河北北方学院学报(自然科学版), 2023, 39(10): 15-17.

    GE X Y. Application of nursing programs based on the concept of accelerated rehabilitation surgery in the perioperative period of pelvic fracture[J]. Journal of Hebei North University(Natural Science Edition), 2023, 39(10): 15-17.
    张凡, 李伦兰, 戴晴, 等. 加速康复护理清单在胸腰椎骨折患者围手术期的应用效果[J]. 安徽医学, 2020, 41(7): 846-849.

    LI Y W. Effect of pain control care in patients with traumatic fractures and its impact on postoperative rehabilitation[J]. Journal of Anhui Medicine, 2020, 41(7): 846-849.
    [16]
    王宁霞, 寄婧, 李超. 基于快速康复外科理念的功能康复对Tile C型骨盆骨折患者的影响[J]. 甘肃医药, 2023, 42(12): 1129-1131.

    WANG N X, JI J, LI C. The impact of functional rehabilitation based on the surgical concept of rapid rehabilitation on patients with Tile C pelvic fractures[J]. Gansu Medical Journal, 2023, 42(12): 1129-1131.
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