下肢骨折患者入手术室后疼痛的原因及护理分析

Causes and nursing of pain after entering the operation room in patients with lower limb fracture

目的探讨下肢骨折患者入手术室后出现疼痛的原因及护理对策。方法随机收集本院2014年10月—2015年4月收治的50例行下肢骨折手术患者作为对照组,随机收集本院2015年5—10月收治的50例行下肢骨折手术患者作为实验组。对照组患者实施常规护理,实验组患者针对疼痛因素施加针对性护理干预,比较2组患者疼痛评分及护理满意度情况等。结果因搬运原因导致的疼痛占30.0%,因麻醉因素导致的疼痛占26.0%,因疾病因素导致的疼痛占19.0%,因手术操作不规范造成的患者疼痛占8.0%,未出现疼痛的患者占17.0%;2组患者护理干预后疼痛评分较护理前显著降低(P<0.01);实验组患者护理干预后疼痛评分显著低于对照组(P<0.01);实验组患者中护理非常满意度及总满意度均显著高于对照组患者(P<0.01)。结论导致下肢骨折患者入手术室疼痛的最主要原因有搬运操作不规范及手术麻醉体位因素,明确疼痛原因并采取针对性护理操作对减轻疼痛效果显著。

Objective To explore the causes and nursing countermeasures of pain after entering the operation room in the patients with lower limb fracture. Methods Fifty patients with lower limb fractures from October 2014 to April 2015 were designed as control group, and 50 patients with lower limb fracture from May 2015 to October 2015 were designed as experimental group. The control group was given routine nursing, and the experimental group was given special nursing interventions.Pain scores and nursing satisfaction degree were compared between the two groups. Results The pain caused by transportation accounted for 30. 0 % , caused by anesthesia factors accounted for 26. 0 % ,caused by disease factors accounted for 19. 0 % , caused by nonstandard surgical operations accounted for 8. 0 % , and patients without the pain accounted for 17.0%. After intervention, the pain score decreased significantly (P <0. 01) , and was significantly lower in the experimental group than the controlgroup ( P < 0. 01) . Nursing satisfaction degree in the experimental group was significantly better than the control group ( P < 0. 01) . Conclusion The main reasons for pain after entering the operation room in the patients with lower limb fracture are nonstandard handling operation and surgical anesthesia position, and targeted nursing for the reason of pain can significantly alleviate symptom.