疼痛护理在外伤性骨折患者康复治疗中的应用效果及对依从性的影响

Application effect of pain care in rehabilitative treatment of patients with traumatic fracture and its influence on compliance

目的分析疼痛护理在外伤性骨折患者康复治疗中的应用效果及对依从性的影响。方法选择2018年2月至2020年2月收治的84例外伤性骨折患者,依照护理方法将其分为对照组(n=42,常规护理)与研究组(n=42,常规护理+疼痛护理)。比较两组的护理效果。结果护理12、24、72 h后,研究组VAS评分低于对照组,差异具有统计学意义(P<0.05)。护理后,两组HAMA、HAMD评分均降低,且研究组低于对照组,差异具有统计学意义(P<0.05)。研究组生理领域、心理领域、社会领域、环境领域评分均高于对照组,差异具有统计学意义(P<0.05)。研究组的总依从率为95.24%,明显高于对照组的76.19%,差异具有统计学意义(P<0.05)。结论疼痛护理用于外伤性骨折患者康复治疗中的效果良好,能够减轻疼痛程度,提高依从性,改善康复质量,值得临床推广。

Objective To analyze the application effect of pain care in rehabilitative treatment of patients with traumatic fracture and its influence on compliance.Methods Eighty-four patients with traumatic fracture admitted from February 2018 to February 2020 were selected and divided into control group(n=42,routine care)and study group(n=42,routine care+pain care)according to nursing methods.The nursing effects of the two groups was compared.Results After 12,24 and 72 h of nursing,the VAS scores of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).After nursing,the HAMA and HAMD scores in both groups decreased,and those in the study group were lower than the control group,and the differences were statistically significant(P<0.05).The scores of physiological,psychological,social and environmental fields in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total compliance rate in the study group was 95.24%,which was significantly higher than 76.19%in the control group,and the difference was statistically significant(P<0.05).Conclusion Pain care has a good effect in the rehabilitative treatment of traumatic fracture patients,which can reduce the degree of pain,improve compliance and quality of rehabilitation.It is worthy of clinical promotion.