渐进性肌肉放松训练结合疼痛管理对下肢骨折患者疼痛、心理状态和康复效果的影响

Effect of gradual muscle relaxation training combined with pain management on pain,mental state and rehabilitation effect of patients with lower limb fracture

目的:探讨应用渐进性肌肉放松训练联合疼痛管理对下肢骨折患者疼痛、精神心理状态和康复效果的影响。方法:选取2018年3月-2019年3月入院的45例下肢骨折患者纳入对照组,采用常规模式干预,2019年4月-2020年3月入院的45例下肢骨折患者纳入观察组,采用渐进性肌肉放松训练联合疼痛管理干预,两组均为期干预8周。观察两组患者的疼痛情况、舒适度、心理状态、下肢功能恢复情况、躯体自理能力及生活质量状况。结果:干预后观察组Kolcaba简化舒适度量表(GCQ)评分明显高于对照组(t=3.245,P<0.05);观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分明显低于对照组(t=2.497,2.171;P<0.05),观察组下肢功能评价量表(LEFS)评分明显高于对照组(t=3.467,P<0.05),而躯体自理量表(PSMS)评分则明显低于对照组(t=3.504,P<0.05),观察组生活质量量表(GQOLI-74)中躯体功能、心理功能、社会功能、物质生活状态评分明显高于对照组(t=3.656,3.869,5.069,2.733;P<0.05)。结论:渐进性肌肉放松训练联合疼痛管理能有效缓解下肢骨折患者的负性情绪和疼痛程度,提升躯体自理能力、治疗的舒适度和生活质量,有助于促进下肢功能恢复。

Objective:To explore the effect of gradual muscle relaxation training combined with pain management on pain, mental state and rehabilitation effect of patients with lower limb fracture.Methods:Forty-five patients with lower limb fractures admitted to hospital from March 2018 to March 2019 were selected as control group, and rou tine intervention was adopted.Forty-five patients with lower limb fractures admitted to hospital from April 2019 to March 2020 were taken as observation group,and gradual muscle relaxation training combined with pain management intervention was adopted.Both groups were intervened for 8 weeks.The pain,comfort,psychological state,recovery of lower limb function,self-care ability and quality of life of the two groups were observed.Results:After intervention,the score of Kolcaba Simplified Comfort Scale(GCQ)in the observation group was significantly higher than that in the control group(t=3.245,P<0.05).The scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the observation group were significantly lower than those in the control group(t=2.497,2.171;P<0.05),while the scores of lower limb function evaluation scale(LEFS)in the observation group were significantly higher than those in the control group(t=3.467,P<0.05)The scores of physical function,psychological function,social function and material life state in GQOLI-74 in the observation group were significantly higher than those in the control group(t=3.656,3.869,5.069,2.733;P<0.05).Conclusion:Progressive muscle relaxation training combined with pain management can effectively relieve the negative emotion and pain degree of patients with lower limb fracture,improve their self-care ability,comfort and quality of life,and help to promote the functional recovery of lower limbs.