关键词: 强化肢体沟通, 心理引导, 肱骨髁上骨折, 围术期, 康复锻炼依从性

Abstract: Objective To explore the application of strengthening physical communication combined with psychological guidance in perioperative care of children with supracondylar fracture of humerus．Methods From January 2023 to January 2024,84 children with supracondylar fracture of humerus in Henan Children's Hospital were selected as the research objects．By the random number table method,these patients were evenly divided into the routine group and the observation group,with 42 patients each．The routine group received standard nursing care,while the observation group was provided with enhanced nursing interventions that incorporated physical communication and psychological guidance．A comparative analysis was conducted between the two groups in terms of elbow joint function recovery,pain intensity levels,compliance to rehabilitation exercises,and overall quality of life improvements．Results No statistically significant difference was observed in the proportion of excellent and good outcomes between the two groups（P>0.05）．Following the implementation of the interventions,both the Visual Analog Scale（VAS）score and the Faces,Legs,Activity,Cry,Consolability（FLACC）score decreased in both groups,with the observation group demonstrating a more pronounced reduction compared to the routine group（P<0.05）．The compliance rate for rehabilitation exercises in the observation group was notably higher,reaching 97.62%,in contrast to 76.19% of the routine group,with difference being statistically significant（P<0.05）．Post-intervention,an improvement in the quality of life was noted in both groups,however,the observation group exhibited a superior increase compared to the routine group,with this superiority being statistically significant（P<0.05）．Conclusions Strengthening physical communication combined with psychological guidance has obvious nursing effect on children with supracondylar fracture of humerus,which can reduce the pain degree of patients,improve the compliance of rehabilitation exercise and the quality of life．

Key words: strengthen physical communication, psychological guidance, supracondylar fracture of humerus, perioperative period, compliance of rehabilitation exercise