疼痛护理对四肢骨折患者术后疼痛影响的研究

Study on the Effect of Pain Nursing on Postoperative Pain of Patients with Limb Fracture

目的探讨疼痛护理对四肢骨折患者术后疼痛的影响。方法回顾性选取2017年10月—2020年10月该院120例四肢骨折手术患者作为研究对象,依据术后护理方法分为观察组(常规护理+疼痛护理)与对照组(常规护理),每组60例,比较两组患者护理前后焦虑(SAS)、抑郁(SDS)评分、疼痛评分(VAS)以及肢体功能恢复情况。结果观察组患者术后12、24、48、96 h VAS评分分别为(5.10±0.34)分、(4.03±0.24)分、(3.29±0.24)分、(1.19±0.32)分,对照组分别为(6.21±0.25)分、(5.68±0.36)分、(4.98±0.26)分、(3.39±0.15)分,差异有统计学意义(t=20.374、29.540、36.997、48.219,P<0.05);观察组与对照组患者术后肢体功能恢复优良率分别为83.3%、63.3%,差异有统计学意义(χ^(2)=6.136,P<0.05);两组患者护理前SAS评分、SDS评分比较分别为(62.30±6.32)分VS(63.04±5.87)分、(66.63±5.96)分VS(65.89±5.86)分,差异无统计学意义(t=0.665、0.686,P>0.05);观察组患者护理后SAS评分、SDS评分分别为(35.27±3.52)分、(39.46±3.61)分,优于护理前,差异有统计学意义(P<0.05),且与对照组的(47.53±5.76)分、(49.29±5.62)分比较差异有统计学意义(t=14.068、11.399,P<0.05)。结论疼痛护理在改善四肢骨折患者术后疼痛、焦虑抑郁情绪方面作用显著,有利于术后肢体功能恢复,可在临床广泛推广。

Objective To scuss the effect of pain nursing on postoperative pain of patients with limb fractures.Methods From October 2017 to October 2020,120 patients undergoing limb fracture surgery in the hospital were retrospective convenient selected as the research objects.According to the post-operative care methods,they were divided into observation group(routine care+pain care)and control group(routine care),each group 60 cases,compared the anxiety(SAS),depression(SDS)score,pain score(VAS)and limb function recovery of the two groups before and after nursing.Results The VAS scores at 12 h,24 h,48 h and 96 h in the observation group were(5.10±0.34)points,(4.03±0.24)points,(3.29±0.24)points,(1.19±0.32)points respectively,compared with(6.21±0.25)points,(5.68±0.36)points,(4.98±0.26)points and(3.39±0.15)points in the control group,the difference was statistically significant(t=20.374,29.540,36.997,48.219,P<0.05);the excellent and good rates of limb function recovery in the observation group and the control group were 83.3%and 63.3%,respectively,the difference was statistically significant(χ^(2)=6.136,P<0.05);The pre-care SAS score and SDS score of the two groups were compared with(62.30±6.32)points VS(63.04±5.87)points,(66.63±5.96)points VS(65.89±5.86)points,and the difference was not statistically significant(t=0.665,0.686,P>0.05);the SAS score and SDS score of patients in the observation group after nursing were(35.27±3.52)points and(39.46±3.61)points,which were better than those before nursing,and the difference was statistically significant(P<0.05).And compared with the(47.53±5.76)points and(49.29±5.62)points of the control group,the difference was statistically significant(t=14.068,11.399,P<0.05).Conclusion Pain nursing has a significant effect in improving postoperative pain,anxiety and depression in patients with limb fractures.It is beneficial to the recovery of postoperative limb function and can be widely promoted in clinic.