摘要
目的 探讨低温冲击疗法联合整体护理在Pilon骨折患者围手术期的干预效果。方法 选取2021年3月—2022年3月中山市中医院骨二科收治的符合Pilon骨折诊断标准的患者60例作为研究对象,按照组间基本特征具有可比性的原则分为观察组和对照组,每组30例。观察组予以低温冲击疗法联合整体护理干预治疗,每4 h治疗1次,每天4次,每次1 min,疗程为5 d;对照组予以常规冰袋冷敷联合常规护理方法,每天4次,每次30 min,疗程为5 d。比较两组患者护理干预前后的肿胀程度、肿胀值、视觉模拟疼痛评分法(VAS)评分以及平均住院天数与并发症发生率。结果 护理干预前,两组患者的肿胀程度、肿胀值、VAS评分的比较,差异均无统计学意义(P>0.05);护理干预5 d后,观察组患者的肿胀程度、VAS评分、肿胀值低于对照组,平均住院天数短于对照组,并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论 低温冲击疗法联合整体护理干预能有效减轻Pilon骨折患者患肢软组织肿胀和疼痛程度,缩短住院天数,减少围手术期并发症发生率。
Objective To explore the intervention eff ect of hypothermic shock therapy combined with holistic nursing care in the perioperative period of patients with Pilon fracture.Methods 60 patients admitted to the Department of Orthopaedics,Zhongshan Hospital of Traditional Chinese Medicine,who met the diagnostic criteria of Pilon fracture from March 2021 to March 2022 were selected as the study subjects,they were divided into an observation group and a control group according to the principle of the comparability of the basic characteristics between the groups,with 30 cases in each group.The observation group was treated with hypothermic shock therapy combined with holistic nursing intervention once every 4 h,4 times a day,1 min each time,for a period of 5 d.The control group was treated with conventional ice packs combined with conventional nursing methods,4 times a day,30 min each time,for a period of 5 d.The degree of swelling,the swelling value,the Visual Analogue Scale(VAS)scores,and the average number of hospital days and the occurrence of complications were compared before and after the intervention in both groups.Results Before the nursing intervention,there was no statistically signifi cant diff erence in the degree of swelling,swelling value and VAS score between the two groups(P>0.05).After 5 d of the nursing intervention,the degree of swelling,VAS score and swelling value of the patients in the observation group were lower than those of the control group,and the average number of days of hospitalisation was shorter than that of the control group,with the rate of complications lower than that of the control group,which were all statistically signifi cant(P<0.05).Conclusion Hypothermic shock therapy combined with holistic nursing intervention could eff ectively reduce the degree of soft tissue swelling and pain in the aff ected limbs of patients with Pilon fracture,shorten the number of hospitalisation days,and reduce the incidence of perioperative complications.
作者
余小冬
位春巍
林小永
YU Xiaodong;WEI Chunwei;LIN Xiaoyong(Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan,528400,China)
出处
《护理实践与研究》
2023年第15期2290-2294,共5页
Nursing Practice and Research
基金
中山市卫生健康局医学科研项目(编号:2021J188)。
关键词
低温冲击疗法
整体护理干预
PILON骨折
肿胀程度
疼痛
并发症
Hypothermic shock therapy
Holistic nursing intervention
Pilon fracture
Swelling degree
Pain
Complication
