护理干预在减轻微创小切口拇外翻矫正患者疼痛中的作用分析

Effect of nursing intervention on relieving pain in minimally invasive small incision thumb valgus correction

目的研究护理干预在减轻微创小切口拇外翻矫正患者疼痛中的作用。方法选择2016年1月～2018年5月河北医科大学第三医院行微创小切口矫正术的拇外翻患者200例,按照随机数字表法,将200例患者分为对照组与观察组,每组各100例,对照组实施常规围术期护理干预,观察组实施综合性护理,比较两组拇外翻角、拇趾-跖趾关节功能评分、疼痛评分、舒适度评分、睡眠质量评分、心理状态评分、生活质量评分、护理满意率。结果两组护理后的拇外翻角均较护理前减小(P <0.05),两组护理后的拇趾-跖趾关节功能评分均较本组护理前增高(P <0.05)。护理后,观察组拇外翻角小于对照组(P <0.05),其拇趾-跖趾关节功能评分高于对照组(P <0.05)。两组护理后疼痛评分、睡眠质量评分、心理状态评分均较本组护理前降低(P <0.05),生活质量评分、舒适度评分均较本组护理前升高(P <0.05)。护理后观察组舒适度评分、生活质量评分均高于对照组(P <0.05),其疼痛评分、睡眠质量评分、心理状态评分均低于对照组(P <0.05)。观察组的总满意率高于对照组(P <0.05)。结论在拇外翻患者行微创小切口矫正手术期间,综合性护理可有效减轻患者的疼痛感,提高其舒适度,改善其睡眠质量、心理状态,有利于使其拇趾-跖趾关节功能有效恢复,使其生活质量水平及护理服务评价得以提高。

Objective To study the effect of nursing intervention on relieving pain in minimally invasive small incision thumb valgus correction. Methods Two hundred patients undertaking minimally invasive small incision thumb valgus correction were selected from January 2016 to May 2018 in Hebei Medical University Third Hospital. According to the random number table method, 200 patients were divided into control group and observation groups, with 100 cases in each group. The routine perioperative nursing intervention was performed in the control group, and comprehensive nursing was performed in the observation group. The functional score of hallux valgus angle, hallux-metatarsophalangeal joint function score, the score of pain, the score of comfort, the score of sleep quality, the score of psychological state, the score of life quality and nursing satisfaction rate were compared between the two groups. Results After nursing, the hallux valgus angle in both groups decended compared with that before nursing (P < 0.05), and the functional score of the hallux valgus and metatarsophalangeal joint in both groups increased compared with that before nursing (P < 0.05). After nursing, the hallux valgus angle of the observation group was smaller than that of the control group (P < 0.05), and its bunions-metatarsophalangeal joint function score was higher than that of the control group (P < 0.05). The scores of pain, sleep quality and mental state in the two groups after nursing were lower than those before nursing (P < 0.05), and the scores of life quality and comfort were higher than those before nursing (P < 0.05). After nursing, the scores of comfort and quality of life in the observation group were higher than those in the control group (P < 0.05), and the scores of pain, sleep quality and mental state were lower than those in the control group (P < 0.05). The total satisfaction rate of the observation group was higher than that of the control group (P < 0.05). Conclusion During the minimally invasive mini-incision correction of hallux valgus, comprehensive nursing can effectively relieve the pain, improve the comfort, improve the sleep quality, and improve the psychological state of the patients. It is beneficial to the recovery of the function of the hallux-metatarsophalangeal joint function and the improvement of life quality and the evaluation of nursing service.