细节干预及分层护理在外固定联合骨赘清理治疗创伤性踝关节炎的应用效果

Effect of Detailed Intervention and Stratified Nursing in the Treatment of Traumatic Ankle Arthritis with External Fixation Combined with Osteophyte Clearing

目的:接受外固定联合骨赘清理治疗的创伤性踝关节炎患者,于其围术期护理工作中开展细节干预及分层护理,对缓解患者术后肿胀程度及疼痛程度、改善其负面情绪和睡眠质量的价值探究.方法:选取我院2021年3月—2023年3月收治的80例创伤性踝关节炎患者为研究对象,随机将其分为对照组与观察组,各40例.患者入组均接受外固定联合骨赘清理治疗,对照组采用常规围术期护理,观察组开展细节干预及分层护理.比较2组患者的护理效果差异.结果:术后1、2 d,2组肿胀程度评分比较,组间差异无统计学意义(P>0.05);术后3~6 d,观察组肿胀程度评分均低于对照组,组间差异有统计学意义(P<0.05).术后1、2 d,2组疼痛评分比较,组间差异无统计学意义(P>0.05),术后3~6 d,观察组疼痛评分均低于对照组,组间差异有统计学意义(P<0.05).护理后,观察组负性情绪评分均低于对照组,组间差异有统计学意义(P<0.05).护理后,观察组睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍评分及总分均低于对照组,组间差异有统计学意义(P<0.05).结论:接受外固定联合骨赘清理治疗的创伤性踝关节炎患者,于其围术期护理工作中开展细节干预及分层护理,对缓解患者术后肿胀程度及疼痛程度,改善其负面情绪和睡眠质量的效果显著.

Objective:For patients with traumatic ankle arthritis who received external fixation combined with osteophyte clearing,detailed intervention and stratified care were carried out in perioperative nursing work to explore the value of alleviating postoperative swelling and pain,improving negative mood and sleep quality of patients.Methods:80 patients with traumatic ankle arthritis admitted to our hospital from March 2021 to March 2023 were selected as the study objects.They were randomly divided into a control group and an observation group,with 40 cases.All the samples received external fixation combined with osteophyte clearing treatment.The control group received routine perioperative nursing,and the observation group received detailed intervention and stratified nursing.The nursing effect of 2 groups was compared.Results:On the 1st and 2nd day after operation,there were no significant differences in swelling degree between the two groups(P>0.05).3 to 6 days after operation,the swelling degree score of observation group was lower than that of control group,and the differences between groups were statistically significant(P<0.05).On the 1st and 2nd day after operation,there were no significant differences in pain scores between the two groups(P>0.05).3 to 6 days after operation,pain scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the negative emotion scores of the observation group were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).After nursing,the sleep quality,sleeping time,sleeping time,sleep efficiency,sleep disorders,hypnotic drugs,daytime dysfunction scores and total scores of the observation group were lower than those of the control group,and the differences between groups were statistically significant(P<0.05).Conclusion:For the patients with traumatic ankle arthritis who received external fixation combined with osteophyte clearing,detailed intervention and stratified care in the perioperative nursing work can significantly alleviate the degree of postoperative swelling and pain,and improve their negative emotions and sleep quality.