护理干预在骨折术后疼痛患者护理中的效果观察

The Effect of Nursing Intervention on Patients With Pain After Fracture Surgery

目的了解护理干预在骨折术后疼痛患者护理中的效果。方法选取2017年2月—2018年2月我院收治的骨折术后疼痛患者70例作为研究对象,将其随机分为两组。对照组采用常规护理干预,全面护理组采用全面护理干预。比较两组患者的满意率、术后疼痛持续天数、止痛药使用时间;护理前后视觉模拟评分、应激指标;继发并发症概率。结果全面护理组患者的满意率高于对照组,组间各数据比较,差异具有统计学意义(P <0.05)。护理后,全面护理组视觉模拟评分、应激指标均低于对照组,差异均具有统计学意义(P <0.05)。全面护理组术后疼痛持续天数、止痛药使用时间均短于对照组,差异均具有统计学意义(P <0.05)。全面护理组患者中继发并发症发生2例,总发生率为5.71%,对照组有8例出现并发症,总发生率为22.86%,差异具有统计学意义(P <0.05)。结论骨折术后疼痛患者实施全面护理干预效果理想,可有效减轻患者的疼痛反应,减轻手术应激,减少术后继发并发症,促使患者提高对护理服务的满意度。

Objective To understand the effect of nursing intervention on patients with pain after fracture surgery.Methods 70 patients with pain after fracture surgery admitted to our hospital from February 2017 to February 2018 were selected as the study subjects.They were randomly divided into two groups.The control group adopted routine nursing methods. Comprehensive nursing intervention was adopted in the comprehensive nursing group.The satisfaction rate,the duration of pain after operation, the time of using analgesics,visual analogue scores,stress indicators before and after nursing,and the probability of secondary complications were compared between the two groups.Results The satisfaction rate of the comprehensive nursing group was higher than that of the control group, and there was a significant difference between the groups (P<0.05). After nursing,visual analogue score and stress index of comprehensive nursing group were lower than those of control group,and the difference was statistically significant (P<0.05).The duration of pain and the use of analgesics in the comprehensive nursing group were shorter than those in the control group,and the difference was statistically significant (P<0.05). Secondary complications occurred in 2 patients in the comprehensive nursing group, with a total incidence of 5.71%.There were 8 cases of complications in the control group,the total incidence was 22.86%.The difference was statistically significant (P < 0.05).Conclusion The effect of comprehensive nursing intervention for patients with pain after fracture surgery is ideal.It can effectively alleviate the pain reaction of patients,relieve the stress of operation,reduce the complications after operation, and promote patients to improve their satisfaction with nursing service.