骨折术后患者应用舒适护理干预对其疼痛状况、心理状态和护理满意度的影响

Influences of Comfort Care Intervention on Pain,Mental State and Nursing Satisfaction of Postoperative Fracture Patients

目的:观察舒适护理干预对骨折术后患者的疼痛状况、心理状态及护理满意度的影响。方法:选取2015年7月-2017年7月在笔者所在医院接受手术治疗的128例骨折患者临床资料,按护理方案不同分为观察组与对照组,每组64例,对照组行常规护理,观察组行舒适护理,比较两组的护理结果。结果:护理后,观察组VAS评分(2.51±0.12)分,低于对照组的(4.12±0.32)分,比较差异有统计学意义(P<0.01);观察组疼痛0级、Ⅰ级患者占比分别为56.25%、31.25%,高于对照组的29.69%、15.63%,比较差异均有统计学意义(P<0.05);护理后,观察组SAS、SDS评分分别为(25.11±10.03)、(29.17±6.32)分,低于对照组的(30.09±10.25)、(35.26±5.11)分,比较差异均有统计学意义(P<0.01);观察组护理总满意度为93.75%,高于对照组的71.88%,比较差异有统计学意义(P<0.01)。结论:舒适护理能显著减轻骨折患者术后疼痛,缓解心理状态,消除负面情绪,提升护理满意度,效果显著。

Objective： To observe the influence of comfort care intervention on pain, mental state and nursing satisfaction of postoperative fracture patients.Method： From July 2015 to July 2017, 128 patients with fracture receiving surgical treatment in the author＇s hospital were selected and divided into observation group and control group according to different nursing plans, 64 cases in each group.The control group received routine nursing care, and the observation group performed comfort nursing. These two groups were compared in terms of pain, mental state and care satisfaction.The nursing care results of the two groups were compared.Result： After nursing, the VAS score of the observation group was （2.51 ± 0.12） points, which was lower than that of the control group[（4.12 ±0.32）points], the difference was statistically significant（P〈0.01）.The percentage of patients in the observation group with grade 0 and grade I pain was 56.25% and 31.25%, which was higher than 29.69% and 15.63% in the control group, the difference was statistically significant（P〈0.05）.After nursing, the SAS and SDS scores in the observation group were （25.11 ± 10.03） and （29.17 ± 6.32）points, respectively, which were lower than those in the control group （30.09 ± 10.25） and （35.26 ± 5.11）points, and the he differences were statistically significant（P〈0.01）.The total nursing satisfaction in the observation group was 93.75%, which was higher than that in the control group（71.88%）, the difference was statistically significant（P〈0.01）.Conclusion： Comfort care can significantly reduce postoperative pain in fracture patients, relieve psychological state, eliminate negative emotions, and improve nursing satisfaction, showing a significant effect.