Effect of the intervention nursing model combining compliance guidance and empowerment-participation on postoperative recovery and compliance of patients with tibiofibular fractures
依从性指导护理联合赋权-参与干预护理模式对胫腓骨骨折患者术后恢复效果及依从性的影响

摘要

目的 分析在胫腓骨骨折患者的护理管理中，应用依从性指导护理联合赋权-参与干预护理模式对患者术后恢复效果和依从性的影响。方法 选择2024年7月-2025年7月我院外科收治的80例胫腓骨骨折患者为研究对象，采用双色球分组法分为对照组和研究组，各40例。对照组患者给予常规护理，研究组在对照组基础上采用依从性指导护理联合赋权-参与干预护理模式，比较两组患者干预前后生活质量评分（生活质量综合评估表，GQOLI-74）、膝功能（牛津膝关节评分量表，OKS）改善情况和依从性。结果 两组干预前生活质量评分、膝功能评分均无显著差异（p>0.05），干预后均改善且研究组改善幅度大于对照组（P<0.05）；研究组康复依从性明显高于对照组（P<0.05）。结论 在胫腓骨骨折患者的护理管理中，应用依从性指导护理联合赋权-参与干预护理模式能有效改善患者生活质量，促进膝关节功能恢复，对提高患者康复依从性有积极作用，值得推广应用。

Abstract

Objective To analyze the effect of applying the intervention nursing model combining compliance guidance and empowerment-participation on the postoperative recovery and compliance of patients with tibiofibular fractures in the nursing management.
Methods 80 patients with tibiofibular fractures admitted to our hospital's surgery department from July 2024 to July 2025 were selected as the research subjects. They were divided into the control group and the study group by the double-color ball grouping method, with 40 cases in each group. The patients in the control group were given routine care, and the patients in the study group were given the intervention nursing model combining compliance guidance and empowerment-participation on the basis of the control group. The quality of life scores (Quality of Life Comprehensive Evaluation Scale, GQOLI-74), knee function (Oxford Knee Joint Score Scale, OKS) improvement and compliance of the two groups before and after the intervention were compared.
Results There were no significant differences in the quality of life scores and knee function scores before the intervention between the two groups (p > 0.05). After the intervention, both groups improved, and the improvement amplitude of the study group was greater than that of the control group (P < 0.05); The rehabilitation compliance of the study group was significantly higher than that of the control group (P < 0.05).
Conclusion   In the nursing management of patients with tibiofibular fractures, applying the intervention nursing model combining compliance guidance and empowerment-participation can effectively improve the quality of life of patients, promote the recovery of knee joint function, and have a positive effect on improving the rehabilitation compliance of patients, which is worthy of promotion and application.