Effects evaluation of the lower limb pad with the functions of fracture-reduction and bed-belts using for the pre-operation patients of tibiofibular fracture / 中国实用护理杂志

ABSTRACT

Objective To probe into the lower limb pad with the functions of fracture-reduction and bed-belts using for the pre-operation patients of tibiofibular fracture. Methods A total of 60 tibiofibular fracturewere selected by using random number table method.and they were divided into experimental group and control group, 30 cases in each. The experimental group used the lower limb pad with the functions of fracture-reduction and bed-belts,and the control group used the common trapezoid lower limb pad;compareing the incidence of nursing adverse events in two group in one week,the skin condition around the fracture,the swelling, the comfort, the adjusting times of bone traction,and VAS. Results In the experimental group, the frequency of low-limb mat movement/calves falling and the frequency of the doctor adjusting the displacement of fractured ends were 0.00 (0.00-0.00) and 0.00 (0.00-0.00), respectively. Besides, corresponding frequency was 2.00 (0.00-4.00) and 2.00 (0.00-4.50) in the control group, the differences were statistically significant between groups (Z=-3.907,-3.248, P=0.009, 0.012). Furthermore, there was an obvious difference in the skin condition around the fracture between groups (χ2=16.525, P=0.001). Statistical difference was also found in the comparison of patient comfort score between groups (χ2=13.416, P=0.001). VAS score results showed that the score was (5.15 ± 1.451) points and (6.65 ± 2.45) points on the first day after traction in the experimental group and the control group, respectively, and the difference was statistically significant (t=-3.201, P<0.05). On the third day after traction, statistical difference was also found that the VAS score was (4.29 ± 1.66) points in the experimental group and (5.55±1.89) points in the control group (t=-2.964, P<0.05). However, no obvious statistical difference was observed between the experimental group and the control group on the fifth day [(3.22±1.32) points vs. (3.45±1.45) points, t=-1.538, P>0.05] and seventh day after traction [(3.25±1.13) points vs. (3.35±1.24) points, t=-1.177, P>0.05]. Conclusion The lower limb pad with the functions of fracture-reduction and bed-belts is able to maintain the best traction performance in tibiofibular fracture patients with skeletal traction through the calcaneum, which has significant efficacy in decreasing the incidence of low-limb mat movement/calves falling during preoperative traction, improving the comfort degree of patients, alleviating doctors′ workload, maintaining effective restoration, producing sustained detumescence, and reducing preoperative waiting time, etc.