Volume 20 Issue 7
Jul.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(7): 1244-1247
CHEN Xiao-yan, ZHOU Li-hua, FANG Ji-hong, YIN Ying, LI Dun-hui, DUAN Yong-xian. Practice and effect of postoperative transitional care of pediatric supracondylar humerus fracture under orthopedic rehabilitation nursing clinic[J]. Chinese Journal of General Practice, 2022, 20(7): 1244-1247. doi: 10.16766/j.cnki.issn.1674-4152.002568
Citation: CHEN Xiao-yan, ZHOU Li-hua, FANG Ji-hong, YIN Ying, LI Dun-hui, DUAN Yong-xian. Practice and effect of postoperative transitional care of pediatric supracondylar humerus fracture under orthopedic rehabilitation nursing clinic[J]. Chinese Journal of General Practice, 2022, 20(7): 1244-1247. doi: 10.16766/j.cnki.issn.1674-4152.002568
shu

Practice and effect of postoperative transitional care of pediatric supracondylar humerus fracture under orthopedic rehabilitation nursing clinic

doi: 10.16766/j.cnki.issn.1674-4152.002568
  • 1.

    Department of Orthopaedics, Anhui Provincial Children's Hospital, Hefei, Anhui 230051, China

Funds:

 AHWJ2021b143

  • Received Date: 2021-08-07
    Available Online: 2022-09-23
    Abstract
  •   Objective  To evaluate the intervention effect of transitional care upon orthopedic rehabilitation clinic on the rehabilitation of pediatric supracondylar humerus fracture.  Methods  Between July 2020 and October 2020, 86 cases of pediatric Supracondylar humerus fractures (Gartland Ⅱ/Ⅲ) were selected in Anhui Provincial Children's Hospital from patients who underwent surgery with operated in closed reduction and percutaneous pinning, they were divided into control group (n=40) and observation group (n=46) by using random number table. All the candidates were received the transitional care characterized by video guided functional exercise that combined with Wechat platform tracking, besides, the patients in observation group were under the management of orthopedic nursing rehabilitation clinic with rehabilitation specialist and orthopedic specialist nurse. The compliance of rehabilitation exercise, the satisfaction of the parents, the MEPS (Mayo elbow performance score), and the score of ROM (range of motion) were compared between the two groups.  Results  When comparing between the observation group and the control group, the score of compliance of rehabilitation exercise were (83.20±13.82) points and (71.00±16.49) points, respectively (P < 0.001), the score of parents'satisfaction were (77.17±20.97) points and (66.25±21.60) points, respectively (P=0.020), and the MEPS were (88.04±8.33) points and (82.50±7.33) points, respectively (P=0.002), the referred indicators between the two groups had statistical difference. The ROM scores associated with flexion, extension, pronation and supination of elbow function in the observation group were higher than that of the control group (all P < 0.05).  Conclusion  The transitional care in orthopedic rehabilitation clinic can promote the postoperative rehabilitation of elbow joint of pediatric supracondylar humerus fracture, which improving the rehabilitation training compliance and increasing the satisfaction of the parents.

     

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