微信平台在耳穴压豆配合药枕疗法治疗髋部骨折患者疼痛的护理应用

WeChat Platform in Ear Lentil with Medicine Pillow Therapy for Pain Nursing Care of Patients with Hip Fracture

目的:探究微信平台在耳穴压豆配合药枕疗法治疗髋部骨折患者疼痛的护理应用价值,为临床护理髋部骨折提供依据。方法:选取2015年1月-2017年1月本院骨科收治的髋部骨折住院患者50例,按照随机数字表法分为对照组与观察组。对照组25例行耳穴压豆配合药枕疗法治疗并行骨科常规护理,观察组25例在上述基础上,加入微信平台行辅助护理,两组治疗护理时间均为1个月。比较护理过程中两组的经济成本、时间成本,比较治疗前后两组对核心知识的掌握情况、McGill疼痛问卷表(MPQ)评分、Oswestry功能障碍指数(ODI)及治疗与护理过程中患者的治疗依从性。结果:观察组的时间成本、经济成本分别为(0.21±0.05)元/次、(1.34±0.18)min/次,均明显低于对照组的(1.50±0.21)元/次、(3.91±0.51)min/次,差异均有统计学意义(P<0.05);治疗前,两组的核心知识掌握度、MPQ、ODI评分比较,差异均无统计学意义(P>0.05);治疗后,两组的ODI评分较治疗前均明显降低,但观察组的下降程度明显大于对照组,观察组患者的核心知识掌握度(84.00%)明显高于对照组(52.00%),差异均有统计学意义(P<0.05)。治疗与护理过程中,观察组的治疗依从性均明显高于对照组(P<0.05)。结论:耳穴压豆配合药枕疗法治疗髋部骨折,安全有效,简便易行;护理中应用微信平台行辅助护理,可有效降低护理中的经济成本、时间成本,提高患者对核心知识的掌握程度及治疗依从性,改善疼痛症状并进一步提升患者的生活质量。

Objective： To explore the nursing application value of WeChat platform in ear lentil with medicine pillow therapy for pain nursing care of patients with hip fracture, and providing the basis for the clinical nursing of hip fracture.Method： In this study, 50 patients with hip fracture admitted by orthopedics were selected from January 2015 to January 2017.According to the random number table method, they were divided into the control group and the observation group.The control group was given ear lentil, medicine pillow therapy and orthopaedic routine nursing care, the observation group on the basis of the above, adding WeChat platform line auxiliary nursing, two groups of care time for one month.More care in two groups in the process of economic cost, time cost, before and after the treatment the mastery of core knowledge, McGill pain questionnaire （ MPQ ） score and Oswestry disability index （ ODI ） and the treatment and nursing of patients in the process of treatment adherence of two groups were compared.Result： The time cost, economic cost of the observation group were （ 0.21 ± 0.05 ） yuan/time, （1.34 ± 0.18 ） mirdtime, were significantly lower than （ 1.50 ± 0.21 ） yuan/time, （ 3.91± 0.51 ） min/time of the control group, the differences were statistically significant （P〈0.05） .Before treatment, the core knowledge of two groups, MPQ and ODI scores were no statistically significant （ P〉0.05 ） .After treatment, ODI score of two groups compared with before treatment were significantly decreased, but the decline of the observation group was significantly greater than that of the control group, the master degree of core knowledge of the observation group （ 84.00% ） was significantly higher than that of the control group （ 52.00% ）, the difference had statistical significance （P〈0.05） .In the treatment and nursing process, the treatment compliance of the observation group was significantly higher than that of the control group （ P〈0.05 ） .Conclusion： It is safe and effective to treat hip fracture with a combination of auricular pressure bean and pillow treatment.Auxiliary nursing care WeChat platform used in line, can effectively reduce the economic costs of care, time, cost, and improve the patient＇s degree of mastery of core knowledge and treatment compliance, improve the symptoms of pain and to further improve the quality of life of patients.