中国伤残医学2024,Vol.32Issue(4) :92-95.DOI:10.13214/j.cnki.cjotadm.2024.004.024

针对性护理在骨伤患者术后的应用效果

Application Effect of Targeted Nursing in Patients with Bone Injury after Surgery

刘乐
中国伤残医学2024,Vol.32Issue(4) :92-95.DOI:10.13214/j.cnki.cjotadm.2024.004.024

针对性护理在骨伤患者术后的应用效果

Application Effect of Targeted Nursing in Patients with Bone Injury after Surgery

刘乐1
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作者信息

  • 1. 安福县人民医院,江西 安福 343200
  • 折叠

摘要

目的:探讨针对性护理在骨伤患者术后的应用效果.方法:选取该院 2021年 2月—2023年 3月接受手术治疗的 97 例骨伤患者为研究对象,按随机数字表法将其分为对照组(n=48)与观察组(n=49),对照组术后采用常规护理,观察组术后采用针对性护理.对比2组恐动情况、术区疼痛程度、情绪状态、睡眠质量、患肢功能康复程度、康复干预依从性、术后并发症发生情况.结果:术后 1周、1个月、3个月,观察组恐动评分均低于对照组,差异有统计学意义(P<0.05).术后 5 d、10 d、出院当日,观察组术区视觉模拟评分均低于对照组,差异有统计学意义(P<0.05).观察组焦虑评分、抑郁评分及睡眠质量评分均低于对照组,组间差异有统计学意义(P<0.05).术后 3个月,观察组患肢功能康复程度优于对照组,差异有统计学意义(P<0.05).观察组康复依从性为95.92%,高于对照组的83.33%,差异有统计学意义(P<0.05).观察组术后并发症总发生率为 10.20%,低于对照组的 27.08%,差异有统计学意义(P<0.05).结论:针对性护理应用于术后骨伤患者中,可缓解术后疼痛,降低术后恐动症风险,促进患肢功能康复,降低术后并发症发生率.

Abstract

Objective:To explore the effect of targeted nursing in patients with bone injury after surgery.Methods:97 patients with bone injury who received surgical treatment in this hospital from February 2021 to March 2023 were selected as the study objects,and they were divided into a control group(n=48)and an observation group(n=49)according to random number table method.The control group received routine care for postoperative pain,while the observation group received targeted care for postoperative pain.The fear of movement,pain degree,emotional state,sleep quality,functional rehabilitation degree of affected limb,compliance with rehabilitation intervention and postoperative complications were compared between the two groups.Results:1 week,1 month and 3 months after operation,the fear score of observation group was lower than that of control group,and the difference was statistically significant(P<0.05).The visual analogue scores of the observation group were lower than those of the control group on the 5th and 10th day after surgery and on the day of discharge,with statistical significance(P<0.05).The anxiety scores,depression scores and sleep quality scores of the observation group were lower than those of the control group,and the differences between groups were statistically significant(P<0.05).Three months after operation,the functional rehabilitation degree of the affected limb in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).The rehabilitation compliance of the observation group was 95.92%,higher than that of the control group(83.33%),and the difference was statistically significant(P<0.05).The total incidence of postoperative complications in the observation group was 10.20%,lower than that in the control group(27.08%),and the difference was statistically significant(P<0.05).Conclusion:Targeted nursing applied to postoperative bone injury patients can alleviate postoperative pain,reduce the risk of postoperative movement phobia,promote functional rehabilitation of affected limbs,and reduce the incidence of postoperative complications.

关键词

骨伤/针对性护理/术后疼痛

Key words

Bone injury/Targeted nursing/Postoperative pain

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出版年

2024
中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
参考文献量9
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