砍离砂联合中药硬膏贴护理干预对预防肌内注射黄体酮致臀部硬结的临床价值

Clinical value of nursing intervention of Kanlisha combined with TCM hot patching to prevent hip induration caused by intramuscular injection of progesterone

目的探讨对接受肌内注射黄体酮的患者,采取砍离砂联合中药硬膏贴护理干预对预防注药后所致臀部硬结的效果。方法选取2018年10月至2019年10月我院收治60例接收肌内注射黄体酮的患者为研究对象,遵循随机数字表法分成治疗组与对照组,每组各30例,对照组予以早期护理干预,治疗组在早期护理干预的基础上,给予砍离砂联合中药硬膏贴干预,采取SPSS 21.0软件统计及比较两组干预1个月臀部硬结发生率、疼痛情况及患者满意度情况。结果治疗组臀部硬结发生率为10.00%,明显低于对照组的33.33%(P<0.05);干预2周患者VAS评分较干预前提高,干预4周VAS评分较干预2周降低,而治疗组干预2周与干预4周VAS评分均显著低于对照组(P<0.05);治疗组对护理干预的满意度为96.67%,显著高于对照组的80.00%(P<0.05)。结论针对肌内注射黄体酮的患者,采取砍离砂+中药硬膏贴+早期护理干预可有效预防用药所致臀部硬结的发生,提高患者满意度,值得推广。

Objective To investigate the efficacy of nursing intervention of Kanlisha combined with TCM hot patching to prevent hip induration caused by intramuscular injection of progesterone in patients treated with preventive injection.Methods A total of 60 patients treated with intramuscular injection of progesterone admitted in our hospital from October 2018 to October 2019 were selected as the research objects.They were divided into the treatment group(n=30)and the control group(n=30)according to the random number table.The control group was treated with early nursing intervention,while the treatment group was treated with the intervention of Kanlisha combined with TCM hot patching on the basis of early nursing intervention.SPSS 21.0 software was adopted to count and compare the incidence of hip induration,pain and patient satisfaction between the two groups after 1 month of intervention.Results The incidence of hip induration in the treatment group was 10.00%,which was significantly lower than 33.33%in the control group(P<0.05).The VAS score of patients after 2 weeks of intervention was higher than that before intervention,and the VAS score of patients after 4 weeks of intervention was lower than that after 2 weeks of intervention.However,the VAS scores of the treatment group were significantly lower than those of the control group after 2 weeks and 4 weeks of intervention(P<0.05).The satisfaction of nursing intervention in the treatment group was 96.67%,which was significantly higher than 80.00%in the control group(P<0.05).Conclusion For the patients injected with progesterone intramuscularly,Kanlisha combined with TCM hot patching and early nursing intervention can effectively prevent the onset of hip induration caused by medication and improve patient satisfaction,which is worthy of promotion.