冥想训练在下肢骨折患者术后康复中的应用

Application of meditation training in postoperative rehabilitation of patients with fracture of lower ;limb

目的：探讨冥想训练减轻下肢骨折患者术后疼痛、焦虑及减少便秘发生的应用效果。方法将入选的106例下肢骨折患者按奇偶数法分为观察组和对照组各53例，对照组实施骨折术后常规护理，观察组在对照组的基础上实施冥想训练，比较2组术后患者疼痛评分，焦虑程度、便秘及满意度。结果干预前，2组患者术后疼痛的视觉模拟评分法（VAS）评分、焦虑评分比较差异均无统计学意义（P＞0.05）。干预后，观察组术后疼痛评分、焦虑评分分别为（2.06±0.85）、（28.95±3.83）分，对照组分别为（4.15±0.62）、（56.13±3.52）分，2组比较差异有统计学意义（t=4.103、2.353，P＜0.05）；观察组术后首次排便时间及例数分别为第1天20.75%（11/53）、第2天52.83%（28/53)、第3天18.87%（10/53)、第4天7.55%（4/53)，对照组术后首次排便时间及例数分别为第1天1.89%（1/53）、第2天26.42%（14/53）、第3天37.74%（20/53）、第4天33.96%（18/53），2组比较差异有统计学意义（χ2=4.022～5.629，均P＜0.05）；观察组和对照组患者术后患者满意度比较分别为94.34%（50/53）、77.36%（41/53），差异有统计学意义（χ2=4.543，P＜0.05）。结论冥想训练能有效减轻患者术后疼痛，降低患者焦虑程度及便秘的发生率，并提高患者对护理服务的满意度，促进患者术后的早日康复。

Objective To explore the effect of meditation training on postoperative pain, anxiety and reduce the incidence of constipation in patients with lower limb fracture. Methods The enrolled 106 patients with lower extremity fractures were randomly divided into the observation group and control group 53 cases respectively according to the odd even method. The control group was implemented with fracture surgery routine care, while the observation group was implemented with meditation training on the basis of the control group, the two groups were compared by postoperative pain score, anxiety, constipation, and satisfaction. Results Before intervention, the postoperative pain Visual Analogue Scale (VAS) scores and anxiety scores of the two groups were not significantly different (P>0.05). After intervention, the postoperative pain scores of observation group and control group were (2.06 ± 0.85) points and (4.15 ± 0.62) points respectively, the difference was statistically significant (t = 4.103, P <0.05). The anxiety scores of observation group and control group were (28.95 ± 3.83) points and (56.13 ± 3.52) points respectively, the difference was statistically significant (t= 2.353, P < 0.05). The first defecation time and the cases number of observation group patients were as follows:day 1st:20.75%(11/53), day 2nd: 52.83% (28/53), day 3rd: 18.87% (10/53), day 4th: 7.55% (4/53). While the data of the control group were day 1st: 1.89% (1/53), day 2nd: 26.42% (14/53), day 3rd 37.74% (20/53), day 4th:33.96%(18/53), the difference between the two groups was statistically significant (χ2=4.022-5.629, P<0.05). The satisfaction of observation group and control group patients were 94.34%(50/53), 77.36%(41/53) respectively, the difference was statistically significant (χ2=4.543, P < 0.05). Conclusions Meditation training can effectively reduce postoperative pain, reduce the incidence of anxiety and constipation, and improve the satisfaction of patients to nursing service, and promote the recovery of patients after surgery.