精细化护理在高龄下肢骨折后患者疼痛护理中的应用

Application of Meticulous Nursing in Elderly Patients with Lower Limb Fracture after Pain Care

目的对于高龄下肢骨折后患者的疼痛采用精细化护理,分析其临床应用效果。方法将2017年1月—2018年5月收治的159例患者作为该次研究的对象,将先入院的80例患者作为精细组,采用精细化护理措施;将其余后入院的79例患者作为常规组,采用常规护理措施,对比两组患者的临床应用效果。结果在精细组80例患者中,总护理满意度为93.75%;常规组79例患者中,总护理满意度为81.01%。与常规组对比可知:精细组患者的护理满意度较高,差异有统计学意义(χ~2=8.116 8、P=0.000 0),呈现临床不均衡性。同时两组患者在护理之前的疼痛评分并差异无统计学意义(P>0.05)。在经过干预之后,精细组患者在不同时间段的疼痛评分均显著低于常规组,组间数据对比后存在统计学意义;在护理之前,两组患者的SAS、SDS评分对比数据差异无统计学意义(P>0.05),经过护理之后,精细组患者的SAS、SDS评分数据显著优于常规组,组间的数据呈现临床不均衡性,差异有统计学意义(P<0.05)。结论同常规组比较,精细化护理的应用,能够显著提高患者的护理满意度,并且减轻患者的疼痛感,降低其焦虑情绪,值得临床推广和应用。

Objective To analyze the clinical effect of fine nursing for the pain of elderly patients with lower limb fracture. Methods 159 patients from January 2017 to May 2018 were selected as the subjects of this study, 80 patients who were first admitted to hospital were selected as the fine group, and the other 79 patients who were later admitted to hospital were selected as the routine group, and the clinical application effects of the two groups were compared. Results Among the 80 patients in the fine group, the total nursing satisfaction was 93.75%, while in the 79 patients in the conventional group, the total nursing satisfaction was 81.01%. Compared with the routine group, the nursing satisfaction of the fine group was higher, showing clinical imbalance, the difference was statistically significant(χ2=8.116 8,P=0.0000).At the same time, the pain scores of the two groups before nursing were not statistically significant, that is(P>0.05). After intervention, the pain score of fine group was significantly lower than that of routine group in different time periods,and there was statistical significance after comparing the data between the two groups. Before nursing, there was no statistical significance between the SAS and SDS scores of the two groups(P>0.05). After nursing, the SAS and SDS of fine group were not statistically significant(P>0.05). The score data were significantly better than the conventional group, and the data between groups showed clinical imbalance, that is,the difference was statistically significant(P<0.05). Conclusion Compared with the routine group, the application of meticulous nursing can significantly improve the patient’s nursing satisfaction, and reduce the pain and anxiety of patients, which is worthy of clinical promotion and application.