ISSN 1674-3865  CN 21-1569/R
主管:国家卫生和计划生育委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

Chinese Pediatrics of Integrated Traditional and Western Medicine ›› 2018, Vol. 10 ›› Issue (1): 81-83.doi: 10.3969/j.issn.1674-3865.2018.01.025

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Nursing care and rehabilitation guidance for children receiving orthopedic surgery for congenital clubfoot

LIU Ying   

  1. Rehabilitation Center for the Disabled in Liaoning Province,Shenyang 110015,China
  • Online:2018-02-25 Published:2018-03-23

Abstract:
Objective
To observe the effect of nursing and rehabilitation guidance in children receiving orthopedic surgery for congenital clubfoot.
Methods
A total of 30 children(38 feet) with congenital clubfoot were selected, who were treated in Liaoning Rehabilitation Center for the Disable from Jan. 2014 to Jan. 2016. They received surgical treatment according to different conditions. Before surgery, psychological nursing, life nursing and manual massage were performed; after treatment, posture nursing, plaster nursing, pain nursing,and rehabilitation guidance were carried out. The ankle and hind foot scoring system of the American Orthopedic Foot and Ankle Society(AOFAS) was used to evaluate the functions before and after orthopedic surgery.
Results
All the cases were followed up, which lasted from 10 months to two years. The AOFAS score was excellent in 13 cases(17 feet), good in 15 cases(18 feet), fair in one case(2 feet) and bad in one case(one foot),the rate of excellence was 92.1%. AOFAS score was 86.9±8.5 after surgery,significantly higher than the score before surgery(57.3±10.7),and the difference was statistical(P<0.05).
Conclusion
Systematic nursing and rehabilitation guidance has good effect on children receiving orthopedic surgery for congenital clubfoot,which is of great significance in the success of surgery and rehabilitation of children.

Key words: Clubfoot, Orthopedic surgery, Nursing, Rehabilitation