读书架在骨科卧床患者中的临床应用及护理

Clinical application of book holder and nursing care for the orthopedic bedridden patients

目的：探讨读书架在骨科卧床患者中的临床应用效果及护理方法。方法：将80例骨科卧床患者随机分为对照组和实验组各40例，对照组采用常规护理，实验组除常规护理外，在护理上采用读书架。分别于使用读书架前1d、使用读书架3d后采用焦虑自评量表（SAS）、数字评分法（NRS）对两组患者焦虑、疼痛的发生情况进行评定。结果：使用读书架3d后，实验组患者焦虑、疼痛发生率均低于对照组（P〈0．01）。结论：对骨科卧床患者，在常规护理的基础上采用读书架，可满足患者认知方面的需要，转移其注意力，减少其恐惧、紧张、焦虑感，减轻其疼痛，有利于其积极配合治疗、早日康复出院。

Objective ： To investigate the effect of clinical application of book holder and nursing methods for the orthopedic bedridden patients. Methods： 80 orthopedic bedridden patients were randomly divided into control group and experimental group （40 cases for each group ）. Routine nursing care was taken in the control group and book holder was adopted based on routine nursing care in the experimental group. Self - rating Anxiety Scale （SAS） and Numeral Rating Scale （ NRS ） were used to assess the anxiety and pain of the patients in both groups respectively on the day before using book holder and the 3nd day after using book holder. Results： The incidence of anxiety and pain of the patients was lower after using book holder for 3 days in the experimental group than that in the control group （ P 〈 0. 01 ）. Conclusion ： Application of book holder based on routine nursing care can meet the needs of the patients in cognition, transfer their attention, reduce their fear, tension, anxiety and alleviate their pain so as to promote early rehabilitation.