学龄期四肢骨折患儿基于疼痛轨迹的精准护理干预

Precision nursing intervention based on pain trajectory for school-age children with limb fractures

目的探讨基于疼痛轨迹的精准护理干预方案在学龄期四肢骨折患儿中的应用效果。方法采用类实验研究设计,将116例拟接受手术治疗的四肢骨折学龄期患儿按照入院时间分为两组,对照组(n=58例)实施围手术期常规护理,观察组(n=58例)在常规护理基础上实施基于疼痛轨迹的精准护理干预方案。比较两组伤后48 h及术后72 h内疼痛评分、功能锻炼依从性。结果观察组伤后各时间点及术后8~72 h疼痛评分显著低于对照组,功能锻炼依从性显著高于对照组(均P<0.05)。结论对学龄期四肢骨折患儿实施基于疼痛轨迹的精准护理干预方案,能够有效降低患儿疼痛程度,提高术后功能锻炼配合度,促进患儿肢体快速康复。

Objective To explore the application effect of precise nursing intervention based on pain trajectory in school-age children with limb fractures.Methods A quasi experimental study design was used to divide 116 school-age children with limb fractures who were scheduled for surgical treatment into a control group and an intervention group chronologically,with 58 cases in each group.The control group received routine perioperative care,while the intervention group additionally received precise nursing intervention based on pain trajectory.The pain scores within 48 hours after injury and within 72 hours after surgery,and the functional exercise compliance on the second day after surgery were compared between the two groups.Results The pain scores of the intervention group were significantly lower at various time points after injury and 8-72 hours after surgery when compared with those of the control group,and its compliance with functional exercise was significantly higher than that of the control group(all P<0.05).Conclusion Implementing the precise nursing intervention based on pain trajectory for school-age children with limb fractures can effectively reduce their degree of pain,improve postoperative functional exercise coordination,and promote rapid limb recovery.