Research Assembling
Application of early cold compress after ankle peripheral fracture based on fast track surgery
Fan Shan, Lin Hua, Hu Jing, Zhao Jing, Meng Yang, Hou Yue, Li Huan, Dong Ajiao
Published 2018-06-26
Cite as Chin J Mod Nurs, 2018,24(18): 2182-2185. DOI: 10.3760/cma.j.issn.1674-2907.2018.18.018
Abstract
ObjectiveTo explore the effects of early cold compress post injury and operation for patients with ankle peripheral fracture.
MethodsFrom January 2015 to January 2016, we selected 152 selective operation patients with ankle peripheral fracture from Xi'an Honghui Hospital, the Affiliated Hospital of Xi'an Jiaotong University. All of the patients were randomly divided into control group and observation group, 76 cases in each group. Patients of observation group accepted continuous cold compress around ankle and routine orthopaedics treatment post injury and 24 hours after operation. Patients of control group were treated with routine orthopaedics treatment. We compared the degree of swelling, Face Rating Scale (FRS) , hospital days, incidence of tension blister and the score of ankle hindfoot scale of American Orthopaedic Foot & Ankle Society (AOFAS) of patients between two groups after injury and operation.
ResultsThe added value of limb circumference of patients of observation group one day before surgery and the third day after surgery was (17.1±5.7) mm and (14.1±5.9) mm respectively lower than those of control group (t=8.566, 5.065; P<0.01) . The score of FRS the first after surgery was (2.8±0.9) in observation group and (3.3±1.1) in control group with a significant difference (t=3.067, P<0.01) . There were three patients with tension blister in observation group and 13 patients in control group with a significant difference (χ2=6.985, P<0.01) . The difference in hospital days between observation group [ (6.8±1.3) days]and control group [ (8.9±2.6) days]was significant (t=6.298, P<0.01) . There was a significant difference in the score of ankle hindfoot scale of AOFAS three months after surgery between observation group (80.5±15.1) and control group (74.2±11.8) (t=2.866, P<0.01) .
ConclusionsThe early cold compress post ankle peripheral fracture and operation has advantages in reducing fracture and surgery injury complications, shortening average hospital stay, speeding up postoperative rehabilitation and so on. It is the practical application of fast track surgery in nursing of traumatology orthopaedics.
Key words:
Fractures, bone; Cold compress; Ankle joint; Enhanced recovery after surgery
Contributor Information
Fan Shan
Operating Room, Xi'an Honghui Hospital, the Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710054, China
Lin Hua
Ward of Trauma Lower Limbs, Xi'an Honghui Hospital, the Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710054, China
Hu Jing
Nursing Department, Xi'an Honghui Hospital, the Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710054, China
Zhao Jing
Operating Room, Xi'an Honghui Hospital, the Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710054, China
Meng Yang
Ward of Trauma Lower Limbs, Xi'an Honghui Hospital, the Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710054, China
Hou Yue
Ward of Trauma Lower Limbs, Xi'an Honghui Hospital, the Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710054, China
Li Huan
Ward of Trauma Lower Limbs, Xi'an Honghui Hospital, the Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710054, China
Dong Ajiao
Ward of Trauma Lower Limbs, Xi'an Honghui Hospital, the Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710054, China
