摘要
目的探究基于疼痛轨迹的精准护理干预在髌骨脱位患儿关节镜下微创治疗中的应用效果。方法选取2023年1月1日至2024年12月30日在某医院治疗的98例髌骨脱位患儿,随机分为实验组(49例,接受常规护理+基于疼痛轨迹的精准护理干预)和对照组(49例,接受常规干预),比较两组患儿疼痛情况、术后功能锻炼依从性、术后恢复情况、术后并发症发生率、患儿家长满意度。结果两组患儿疼痛评分的时间点、组间差异均有统计学意义(P<0.05),实验组术后2~3 h、术后早期功能锻炼前20 min疼痛评分低于对照组,术后功能锻炼总依从率高于对照组(P<0.05);与对照组相比,实验组主动功能锻炼时间、24 h睡眠时间、首次下床时间更长,术后并发症总发生率更低,实验组患儿家长总满意度更高(P<0.05)。结论基于疼痛轨迹的精准护理干预可有效缓解髌骨脱位患儿术后疼痛,提高功能锻炼依从性,促进术后恢复,降低并发症发生率,提升家长满意度,具有临床推广价值。
Objective To explore the application effect of pain trajectory-based precision nursing intervention on children with patellar dislocation during arthroscopic minimally invasive treatment.Methods A total of 98 children with patellar dislocation who received treatment in a hospital from January 1,2023 to December 30,2024 were selected and randomized into experimental group(n=49,receiving routine nursing and pain trajectory-based precision nursing intervention)and control group(n=49,receiving routine nursing).The degree of pain,compliance with postoperative rehabilitation exercises,postoperative recovery situation,incidence of postoperative complications,and parental satisfaction in the two groups were compared.Results The time points of pain scores and the differences between two groups were statistically significant(P<0.05).The pain scores of the experimental group at 2~3 hours after surgery and 20 minutes before the early functional exercise were lower than those of the control group,and the compliance rate of the experimental group was higher than that of the control group(P<0.05).Compared with the control group,the experimental group had longer active functional exercise time,24-hour sleep time,and the time firstly spent getting out of bed.The incidence of postoperative complications was lower,and the parental satisfaction in the experimental group was higher(P<0.05).Conclusion Pain trajectory-based precision nursing intervention can reduce the degree of postoperative pain in children with patellar dislocation,improve the compliance of functional exercise,promote the postoperative recovery,reduce the incidence rate of postoperative complications,and enhance the parental satisfaction,and can be widly used in clinic.
作者
高朋飞
邢娟
侯燕
杜薏娟
宋佳
GAO Pengfei;XING Juan;HOU Yan;DU Yijuan;SONG Jia(Department of Paediatric Orthopaedics,Beijing Jishuitan Hospital Affiliated to Capital Medical University,Beijing 102208,China)
出处
《护理管理杂志》
2025年第12期1091-1094,1100,共5页
Journal of Nursing Administration
基金
北京市科技计划课题(Z221100007422043)。
关键词
疼痛轨迹
护理
髌骨脱位
患儿
关节镜下微创治疗
疼痛
效果
依从性
pain trajectory
nursing
patellar dislocation
children
arthroscopic minimally invasive treatment
pain
effect
compliance
