Research On Quality Of Life After Distal Radial Fracture Techniques Reset

Objective:This subject is to searching the disease status through investigate the health related qualities to the distal radius fracture patients who took the manipulative reduction to have a more objective evaluation about the curative effect of the distal radius fracture manual reduction,and supply reference to Traditional Chinese Medicine Orthopedic.Methods:Selected67inpatients in First Affiliated Hospital of HuNan University of Chinese Medicine who diagnosed had distal radius fracture. All patients took the fracture reduction and maintaining splint therapy. Recorded normal information and disease related information. Through telephone follow-up or patient review the two methods during the period of6-9months after fracture reduction scored the Gartlang&werley wrist and SF-36Health questionnaire of living quality.Results:l.This investigation about distal radius fraction patients, the different dimension SF-36average scores from high to low as:social function>energy>physiology function>body pain>general health>mental health>emotional function>physical function. Investigate results compared with living quality of normal people, obviously lower in physiology function, physical function and body pain (P<0.05); approximate normal in social function, emotional function, and mental health; higher in general health and energy. 2. Discovers through the comparative analysis to each independent factor groups which affected distal radius fracture patients living quality after taking the manipulative reduction:(1)Male patients at various dimension scores were higher than female patients;(2)Living quality rate of young group higher than middle age group and aged group, living quality grades comparing between middle group and aged group without statistical meaning;(3)Mental labor patients at HRQOL dimension scores were higher than retired old patients, physical labor patients and retired old patients had no differences(except emotional function);(4)Patients with graduated or above degree at various dimension scores were higher than other patient groups, no statistical meaning when compared with high school degree patients except in physical function and body pain. Junior school or below degree patients compared with high school degree patients, there was no difference at various dimension;(5)Patients in better living environment at various dimension scores were higher than patients in normal environment, among those, the difference of physical function and mental health had the statistical meaning,(P<0.05)(6)A-type fraction patient at various dimension scores were higher than other two groups. B-type and Cl-type had statistical meaning in general health and emotional function (P<0.05) (7)Patients with Previously healthy scored obviously higher than patients combined2diseases in living quality (P<0.05); Group combined1disease and group combined2or above diseases patient had clearly differences in physiological function and mental health at the two dimensions (P<0.05).The others had no statistical meaning.(8)Patients began the function exercise during the24hours at each dimension scores obviously higher than other two groups, no differences compare to2-3days group in energy and mental health, the other dimension and groups up4days had the statistical meaning (P<0.05)2-3days group and up4days group had no differences except in physiology function dimension with statistical meaning (P<0.05)3.for the distal radius fracture patients, wrist Gartlang&werley score and quality of life score in physiological function, body pain, general health, social function is moderate.4. Multiple regression of each factor and living quality of distal radius fracture patients taking manipulative reduction shows that, fracture type was the negative factor affected physiological function and body pain. Age (except physiological and physical function) was the negative factor affected all dimensions. Education degree was the main positive factor affected physiological function, body pain and social function. Sexual was the main factor affected mental health. Past history was the main negative factor affected energy. Beginning time of functional exercise was the positive factor affected physiological function, general health and emotion functions.Conclusions:1.Compared with normal people, patients taking the distal radius fracture manipulate reduction had a lower living quality, mainly in dimensions of physiological function, physical function, body pain and so on.2.General demographic characteristics and clinical data and other relevant factors exist obvious differences in all dimension of living quality of the distal radius fracture patients. It can accord the investigate results supply different relative treatment, nursing, rehabilitation intervention to improving the living quality of patients.3.For patients with distal radius fracture, after six months of the wrist joint Gartlang&werley score part can response the patient’s quality of life.4.Age,Education degree,Fracture type and the Beginning time of functional exercise are the main factors affect patient’s physiological health.5.Sexual, Age, Education degree,Past history and the Beginning time of functional exercise are the main factors affect patient’s psychology health.