多维度强化护理联合心理支持在四肢骨折患者中的应用
The Application of Multidimensional Reinforcement Nursing Combined with Psychological Support in Patients with Limb Fractures
彭燕雯1
作者信息
- 1. 江西省安福县人民医院,江西 安福 343200
- 折叠
摘要
目的:研究多维度强化护理联合心理支持在四肢骨折患者中的应用效果.方法:随机抽选2020年8月—2023年4月我院收治的 81例四肢骨折患者为研究对象,行对比性临床研究,患者入院均接受手术治疗,术前取分段随机化分组法划分为参照组和试验组.参照组(n=40)配合常规骨外科围手术期护理,试验组(n=41)采取多维度强化护理联合心理支持护理.对比2组手术前后情绪健康评分、疼痛评分、睡眠质量评分、生活质量评分,上、下肢功能评分、肢体肿胀发生率、临床并发症发生率及护理满意度.结果:2组术后 3 d的抑郁症筛查量表(PHQ-9)、焦虑症筛查量表(GAD-7)评分均低于术前 1 d,且试验组低于参照组,差异有统计学意义(P＜0.05).2组术后 3 d、7 d的数字评价量表(NRS)评分、匹兹堡睡眠障碍量表(PSQI)评分均低于术后 1 d,且试验组低于参照组,差异有统计学意义(P＜0.05).2组术后 15 d、1 个月的Fugl-Meyer运动功能评分量表(FMA)上肢、下肢功能评分均高于术后 1 d,且试验组高于参照组,差异有统计学意义(P＜0.05).试验组出院当日生活质量核心问卷(QLQ-C 30)各维度评分均高于术后 1 d,且试验组高于参照组,差异有统计学意义(P＜0.05).试验组肢体肿胀发生率低于参照组,临床并发症发生率低于参照组,护理满意度高于参照组,组间差异有统计学意义(P＜0.05).结论:四肢骨折患者手术期间采用多维度强化护理联合心理支持对其临床负面情绪改善作用显著,可在降低术后患肢肿胀、并发症风险的同时,提升术后康复水平,促进患肢功能康复,护理效果确切.
Abstract
Objective:Study on the application effect of multidimensional reinforcement nursing combined with psychological support in patients with limb fractures.Methods:81 patients with limb fractures admitted to our hospital from August 2020 to April 2023 were randomly selected as the research subjects.A comparative clinical study was conducted,and all patients received surgical treatment upon admission.Before surgery,a segmented randomized grouping method was used to divide them into a reference group and an experimental group.The reference group(n=40)received perioperative care in combination with routine orthopedic surgery,while the experimental group(n=41)received multi-dimensional reinforcement nursing combined with psychological support nursing.Compare the emotional health score,pain score,sleep quality score,quality of life score,upper and lower limb function score,incidence of limb swelling,incidence of clinical complications,and nursing satisfaction between two groups before and after surgery.Results:The depression screening scale(PHQ-9)and anxiety screening scale(GAD-7)scores after 3 days of 2 groups were lower than those of the 1st day after surgery,and the reference group were lower than those of the control group,the differences was statistically significant(P＜0.05).The numerical rating scale(NRS)scores and Pittsburgh Sleep Quality Index(PSQI)scores of the 2 groups were lower than those of the 3 and 7 days postoperatively,and the reference group were lower than those of the control group at 1 day postoperatively,the differences was statistically significant(P＜0.05).The Fugl Meyer Motor Function Assessment(FMA)upper and lower limb function scores of the experimental group were higher than those of the 15 days and 1 month after surgery,and both were higher than those of the control group,the differences was statistically significant(P＜0.05).The scores of all dimensions of the Quality of Life Core Questionnaire(QLQ-C30)on the day of discharge in the experimental group were higher than those on the 1st day after surgery,and the reference higher than those in the control group,the differences was statistically significant(P＜0.05).The incidence of limb swelling in the experimental group was lower than that in the control group,the incidence of clinical complications was lower than that in the control group,and nursing satisfaction was higher than that in the control group,the differences between groups were statistically significant(P＜0.05).Conclusion:The use of multidimensional reinforcement nursing combined with psychological support during surgery for patients with limb fractures has a significant effect on improving their clinical negative emotions.It can reduce the risk of postoperative limb swelling and complications,improve the level of postoperative rehabilitation,promote functional recovery of the affected limb,and achieve definite nursing effects.
关键词
多维度强化护理/心理支持/四肢骨折Key words
Multidimensional reinforcement nursing/Psychological support/Limb fracture引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据