精细化疼痛管理结合心理干预在骨折住院患者中的应用效果

Application effect of refined pain management combined with psychological intervention in fracture inpatients

目的探讨精细化疼痛管理与心理干预结合应用于骨折住院患者的效果。方法回顾性分析2020年8月至2022年8月期间南京医科大学附属南京医院收治的97例骨折住院患者的一般资料,根据不同的护理方法将其分为对照组(48例)和观察组(49例)。对照组施以常规护理,观察组施以精细化疼痛管理结合心理干预。比较2组的疼痛程度、不良情绪、应激指标、骨代谢指标和术后并发症发生情况。结果出院时及出院1个月后,2组的视觉模拟评分法、焦虑自评量表和抑郁自评量表评分,以及皮质醇、促肾上腺皮质激素、去甲肾上腺素水平均较同组护理前更低,骨钙素、骨形态发生蛋白2和骨特异性碱性磷酸酶水平均较同组护理前更高(P均<0.05),且观察组均较同期对照组更优(P均<0.05)。与对照组比较,观察组的并发症总发生率更低(P<0.05)。结论精细化疼痛管理结合心理干预可减轻骨折住院患者的疼痛程度,改善其焦虑和抑郁情绪,以及机体应激、骨代谢水平,减少并发症的发生。

Objective To explore the effect of refined pain management combined with psychological intervention on patients hospitalized with fractures.Methods A retrospective analysis was conducted on the general data of 97 fracture inpatients admitted to Nanjing Hospital Affiliated with Nanjing Medical University from August 2020 to August 2022.They were divided into the control group(48 cases)and the observation group(49 cases)according to different nursing methods.The control group received routine care,while the observation group received refined pain management combined with psychological intervention.The degree of pain,negative emotions,stress indicators,bone metabolism indicators,and postoperative complications were compared between the two groups.Results At discharge and 1 month after discharge,the scores of the Visual Analogue Scale,Self-Rating Anxiety Scale,and Self-Rating Depression Scale,as well as the levels of cortisol,adrenocorticotropic hormone,and norepinephrine in the two groups were lower than those before nursing,and the levels of osteocalcin,bone morphogenetic protein 2,and bone alkaline phosphatase were higher than those before nursing(all P<0.05).The observation group performed better than the control group(all P<0.05).Compared with the control group,the total incidence of complications in the observation group was lower(P<0.05).Conclusion Refined pain management combined with psychological intervention can alleviate the pain of patients hospitalized with fractures,relieve their anxiety,depression,stress and bone metabolism levels,and reduce the occurrence of complications.