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| Effect of Nursing Intervention of FTS-CNP Model on Postoperative Rehabilitation and VAS Score of Patients with Tibial Plateau Fracture |
| LIN Ahua |
| First-author's address: Quanzhou First Hospital, Fujian Province, Quanzhou 362000, China |
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Abstract Objective: To explore the effect of nursing intervention of fast track surgery (FTS) -clinical nursing pathway (CNP) model on postoperative rehabilitation and visual analogue scale (VAS) score of patients with tibial plateau fracture. Method: A total of 200 patients with tibial plateau fracture admitted to the Department of Orthopedics, Chengdong Branch of Quanzhou First Hospital from February 2020 to February 2022 were selected and divided into two groups according to the admission time, with 100 cases in each group. The control group received routine nursing, and the observation group received nursing intervention of FTS-CNP model based on the control group. Postoperative rehabilitation indexes were compared between the two groups. VAS was used to evaluate the pain degree of the two groups at different time points, and Lysholm knee joint score, incidence of complication, activity ability of daily living and nursing satisfaction were compared between the two groups. Result: Postoperative rehabilitation indexes of the observation group were better than those of the control group (P<0.05). Compared with before surgery, the VAS scores of both groups were decreased at 3 days after surgery and at discharge (P<0.05). Compared with 3 days after surgery, the VAS scores of both groups at discharge were lower, and the VAS score of the observation group at 3 days after surgery was lower than that of the control group (P<0.05). 90 d after surgery, Lysholm knee joint scores and Barthel index scores were higher in both groups than those before surgery, and those in the observation group were higher than those in the control group (P<0.05). The incidence of postoperative complications in the observation group (7.00%) was lower than that in the control group (24.00%) (P<0.05). The total nursing satisfaction in observation group (93.00%) was higher than that in control group (80.00%) (P<0.05). Conclusion: The application of nursing intervention of FTS-CNP model in patients with tibial plateau fracture has a good effect, which can reduce postoperative pain and promote rehabilitation.
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Received: 08 February 2023
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