摘要
目的探究在创伤性骨折患者术后康复中加强疼痛控制护理干预的临床价值。方法选取于2017年1月—2019年10月该院收治的130例创伤性骨折术后康复患者,根据随机分组原则分为观察组(疼痛控制护理干预)和对照组(常规护理干预)各65例。对比两组干预效果。结果相比于对照组,观察组护理满意度(96.92%)较高,并发症发生率(6.15%)较低,差异有统计学意义(χ2=10.263、4.561,P<0.05);干预前,两组疼痛评分和生活质量各指标评分对比,差异无统计学意义(P>0.05),干预后,与对照组相比,观察组VAS(4.14±1.37)分、VRS(24.36±1.41)分、PPI(2.21±0.14)分各指标评分均较低,差异有统计学意义(t=5.494、9.156、34.049,P<0.05),而观察组生理功能、活力、社会功能、情感职能、精神健康、总体健康各生活质量指标评分均较高(P<0.05);并且,观察组觉醒次数(1.21±0.37)次、入睡时间(0.29±0.16)h及睡眠质量评分(3.29±1.40)分均优于对照组,差异有统计学意义(P<0.05);干预后,与对照组相比,观察组SAS评分(42.41±6.64)分、SDS评分(41.29±6.84)分均较低,差异有统计学意义(t=9.628、8.698,P<0.05)。结论在创伤性骨折患者术后康复中加强疼痛控制护理干预,能够提高护理满意度,减少并发症的发生,同时还能够有效缓解患者的疼痛症状和不良情绪,促进患者的生活质量和睡眠质量得到明显改善。
Objective To explore the clinical value of strengthening pain control nursing intervention in postoperative rehabilitation of patients with traumatic fractures.Methods A total of 130 postoperative patients with traumatic fractures who were admitted to the hospital from January 2017 to October 2019 were selected and divided into observation group(pain control nursing intervention)and control group(routine nursing intervention)according to the principle of randomization.65 people.Compared the intervention effects of the two groups.Results Compared with the control group,the observation group had higher nursing satisfaction(96.92%)and lower complication rate(6.15%),the difference was statistically significant(x^(2)=10.263,4.561,P<0.05);before the intervention,the pain scores and the quality of life of the two groups were not statistically significant(P>0.05).After the intervention,compared with the control group,the observation group had VAS(4.14±1.37)points,VRS(24.36±1.41)points,and PPI(2.21±0.14)points of each index were low,the difference was statistically significant(t=5.494,9.156,34.049,P<0.05),while the observation group had higher scores of physiological function,vitality,social function,emotional function,mental health,and overall health,the difference was statistically significant(P<0.05);and the number of awakenings(1.21±0.37)times,the time to fall asleep(0.29±0.16)h and the score of sleep quality(3.29±1.40)points in the observation group were better than those in the control group(P<0.05);Compared with the control group,the SAS score(42.41±6.64)points and the SDS score(41.29±6.84)points of the observation group were lower,the difference was statistically significant(t=9.628,8.698,P<0.05).Conclusion Enhancing pain control nursing intervention during postoperative rehabilitation of patients with traumatic fractures can improve nursing satisfaction,reduce the occurrence of complications,and can also effectively relieve the pain symptoms and bad mood of patients,and promote the quality of life and sleep quality of patients.
作者
孙德云
SUN Deyun(The Second Department of Surgery,Yangxin County Hospital of Traditional Chinese Medicine,Yangxin,Shandong Province,251800 China)
出处
《系统医学》
2021年第8期189-191,195,共4页
Systems Medicine
关键词
疼痛控制护理
创伤性骨折
术后康复
应用效果
Pain control nursing
Traumatic fracture
Postoperative rehabilitation
Application effect
