摘要
目的关于手术室护理和疼痛干预相结合应用在创伤性骨折患者中对患者恢复和睡眠的影响。方法选择2020年3月至2021年6月来我院开展创伤性骨折治疗的122例患者作为调查对象,按随机方法分为观察组和对照组,每组61例。将单纯通过手术室护理干预的患者设为对照组,而通过手术室护理结合疼痛护理干预的患者设为观察组,经过不同护理干预后评估两组调查对象的睡眠、运动状况、疼痛、并发症、生活质量、满意度等方面的差异,并实施统计学比较。结果①护理之前,两组患者的PSQI评分均>16分,FMA评分均>50分,VAS评分均>6分,组间差异无统计学意义(P>0.05)。护理后,两组患者的PSQI、FMA、VAS评分均有明显的转变,但观察组转变的效果相比对照组更加明显,差异有统计学意义(P<0.05)。②经过护理干预,观察组(5例,占8.06%)相比对照组(14例,占22.58%)具有更低的并发症概率,差异有统计学意义(P<0.05)。③护理前,两组患者的SF-36生活质量量表评分均<70分,组间差异无统计学意义(P>0.05)。护理后,两组患者的SF-36生活质量量表评分均有提升,但观察组的提升更为显著(P<0.05)。④经过护理干预,观察组(60例,占98.36%)相比对照组(53例,占86.89%)具有更高水平的满意度,差异有统计学意义(P<0.05)。结论通过手术室护理和疼痛干预相结合的方法对创伤骨折患者进行干预,能有效促进患者术后的恢复,提高睡眠质量,减轻疼痛,降低并发症对机体的损害,提升整体生活质量和满意度。
Objective To discuss the effect of the combined application of operating room nursing and pain intervention in patients with traumatic fractures on their recovery and sleep.Methods A total of 122 patients who came to our hospital for traumatic fracture treatment from March 2020 to June 2021 were selected as the survey objects,and randomly divided into an observation group and a control group,with 61 cases in each group.The patients who received nursing intervention in the operating room alone were set as the control group,and the patients who received nursing intervention in the operating room combined with pain nursing intervention were set as the observation group,quality of life,satisfaction and other aspects of the difference,and implement a statistical comparison.Results(1)Before nursing,the PSQI scores of the two groups were all>16 points,the FMA scores were all>50 points,and the VAS scores were all>6 points,and there was no significant difference between them(P>0.05).After nursing,the PSQI,FMA,and VAS scores of the two groups of patients all changed significantly,but the effect of the change in the observation group was more obvious than that in the control group(P<0.05).(2)After nursing intervention,the observation group(5 cases,accounting for 8.06%)had a lower incidence of complications than the control group(14 cases,accounting for 22.58%),and the difference was statistically significant(P<0.05).(3)Before nursing,the scores of the SF-36 quality of life scale of the patients in the two groups were all<70 points,and the differences was no statistically significant(P>0.05).After nursing,the scores of SF-36 quality of life scale in both groups were improved,but the improvement in the observation group was more significant(P<0.05).(4)After nursing intervention,the observation group(60 cases,accounting for 98.36%)had a higher level of satisfaction value than the control group(53 cases,accounting for 86.89%)(P<0.05).Conclusion The combination of operating room nursing and pain intervention for trauma fracture patients can effectively promote postoperative recovery,improve sleep quality,reduce pain,reduce the damage of complications to the body,and improve the overall quality of life and satisfaction.
作者
董婵
韩青
DONG Chan;HAN Qing(Traditional Chinese Medicine Hospital of Dongchangfu District,Liaocheng City,Shandong Province,Liaocheng 252000,China;Department of Anesthesiology,Dongchangfu District Traditional Chinese Medicine Hospital,Liaocheng City,Shandong Province,Liaocheng 252000,China)
出处
《中国医药指南》
2022年第11期45-48,共4页
Guide of China Medicine
关键词
手术室护理
疼痛干预
创伤骨折
术后恢复
睡眠质量
生活质量
满意度
Operating room nursing
Pain intervention
Traumatic fracture
Postoperative recovery
Sleep quality
Quality of life
Satisfaction
