观察急诊创伤性骨折患者疼痛护理干预的效果及对睡眠质量的影响

Observation of the Effect of Pain Nursing Intervention and Sleep Quality in Patients with Emergency Traumatic Fracture

目的:观察急诊创伤性骨折患者疼痛护理干预的效果及对睡眠质量的影响。方法:选取2021年6月至2022年6月南安市南侨医院急诊科收治的急诊创伤性骨折患者68例作为研究对象,按照病历收集时间,根据信封法分为2组。对照组给予基础护理干预,观察组给予疼痛护理干预。采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)比较2组患者焦虑、抑郁症状改善情况,采用视觉模拟评分法(VAS)比较2组患者的疼痛感受,同时比较2组患者肿胀值、骨折愈合及住院时间。结果:护理干预后,观察组PSQI评分、VAS评分、SAS评分、SDS评分均显著低于对照组,观察组肿胀值、骨折愈合及住院时间均较对照组低,2组比较差异均有统计学意义(均P<0.05)。结论:急诊创伤性骨折采取疼痛护理效果确切,可减轻术后疼痛及肿胀,改善患者负性情绪,提高睡眠质量,值得推广使用。

Objective:To observe the effect of pain nursing intervention on patients with emergency traumatic fracture and its influence on sleep quality.Methods:A total of 68 patients with emergency traumatic fracture admitted to the emergency department of Nan′an Nanqiao Hospital from June 2021 to June 2022 were selected as research objects,and were divided into 2 groups according to the collection time of medical records and envelope method.The control group was given basic nursing intervention,and the observation group was given pain nursing intervention.Pittsburgh Sleep Quality Index(PSQI)was used to compare the differences in sleep quality between 2 groups,and Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to compare the improvement of anxiety and depression symptoms between 2 groups,and Visual Analogue Scale(VAS)was used to compare the pain perception between 2 groups.Meanwhile,swelling value,fracture union and length of stay were compared between 2 groups.Results:After nursing intervention,PSQI score,VAS score,SAS score and SDS score of the observation group were significantly lower than those of the control group,swelling value,fracture healing and length of stay of the observation group were significantly lower than those of the control group,and the differences between 2 groups were statistically significant(P s<0.05).Conclusion:The effect of pain nursing for emergency traumatic fracture is accurate,which can reduce postoperative pain and swelling,improve patients′negative emotions and improve sleep quality.It is worth popularizing.