摘要
目的：探讨集中护理管理模式对多发性骨折术后患者应激状态的影响,以提高护理管理水平。方法：选取2012年1月~2015年1月76例多发性骨折手术患者为研究对象,随机等分为观察组与对照组,对照组给予常规护理管理,观察组予以集中护理管理,观察护理前后两组应激状态和相关指标变化情况。结果：两组护理后疼痛应激指标;P物质（SP）、前列腺素E2（PGE2）、神经肽Y（NPY）;炎性应激指标C反应蛋白（CRP）、肿瘤坏死因子-α（TNF-α）、白细胞介素-1β（IL-1β）;氧化应激指标：超氧化物歧化物歧化酶（SOD）、总抗氧化物（TAC）、过氧化氢酶（CAT）比较,3 d后疼痛应激指标较护理前显著提高,治疗7 d后疼痛应激指标较护理前均显著下降,护理前后比较差异有统计学意义（P〈0.05）。观察组护理后3,7 d疼痛应激指标较对照组改善更加显著（P〈0.05）;两组护理后3,7 d氧化应激指标较护理前显著下降,护理前后比较差异有统计学意义（P〈0.05）,观察组护理后3,7 d氧化应激指标较对照组下降更加显著（P〈0.05）;对照组护理前后抑郁、焦虑评分无明显改善（P〉0.05）,观察组护理后抑郁、焦虑评分较护理前显著下降,两组护理前后抑郁、焦虑评分比较差异有统计学意义（P〈0.05）。结论：集中护理管理能降低多发性骨折术后应激状态,改善不良情绪,值得推广。
Objective ： To explore the effect of the centralized nursing management model on the post - operative stress state of patients with multiple fractures and improve nursing management level. Methods： From January 2012 to January 2015, 76 patients with multiple fracturexs surgery were randomly divided into observation group and control group. The control group was given routine nursing care management. The observation group was given nursing care and management. The changes of stress status and related indexes before and after nursing were observed. Results ： Compared pain stress indicators ： substance P （ SP）, prostaglandin （ PGE2）, neuropeptide （ NPY）, C - reactive protein （ CRP）, tumor necrosis factor - ct （ TNF - ct）, interleukin il - 13 （ IL - 113 ） and oxidative stress indicators： superoxide dismutase （ SOD）, total antioxidants content （TAC）, catalase （CAT） of the two groups, the pain stress was sig- nificantly higher than before three days after, after 7 days of nursing, pain stress indicators were significantly lower than before, compared before and after difference was statistically significant （P 〈 0.05 ）. In the observation group, the pain stress was significantly improved at 3 and 7 days after the nursing （ P 〈 0.05 ）. The level of oxidative stress in the two groups was significantly lower than that before nursing, and the difference was significant （ P 〈 0.05 ）. In the observation group, the level of oxidative stress was significantly lower than that of the control group at 3 and 7 days after nursing （ P 〈 0.05 ）. The scores of depression and anxiety of the control group were not significantly improved （ P 〉 0.05 ）. The scores of depression and anxiety of the observation group after the nursing were significantly lower than those before nursing （ P 〈 0.05 ）, and the score of depression and anxiety of the two groups before and after nursing were statistically significant （ P 〈 0.05 ）. Conclusion ： Centralized nursing management could reduce the postoperative stress state of multiple fractures and improve the bad mood, so it was worth to popularize.
出处
《护理实践与研究》
2016年第19期11-13,共3页
Nursing Practice and Research
关键词
集中护理管理
多发性骨折
应激状态
影响性
Centralized nursing management
Multiple fractures
Stress state
Influence
