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疼痛护理干预对胸部外伤肋骨骨折术后患者的应用效果

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目的:分析疼痛护理干预在胸部外伤肋骨骨折术后患者中的临床应用效果。方法:选取 2022年 1-12月天津医院收治的 60例胸部外伤肋骨骨折患者为观察对象,根据电脑随机分组法将其分为对照组和观察组,各30例。对照组采用一般护理,观察组采用一般护理联合疼痛护理干预。对比两组心理状态、睡眠质量、生活质量、疼痛程度、疼痛因子水平、时间指标及护理满意度。结果:护理后,观察组焦虑自评量表、匹兹重睡眠质量指数评分及血清 5-羟色胺、去甲肾上腺素水平均低于对照组,健康调查简表评分评分高于对照组,差异均有统计学意义(P<0。05)。护理后 1、2、3、7 d,观察组疼痛视觉模拟评分评分均低于对照组,差异均有统计学意义(P<0。05)。对照组术后疼痛持续时间、住院时间均短于对照组,差异均有统计学意义(P<0。05)。观察组护理总满意度为 96。67%,高于对照组的 76。67%,差异有统计学意义(P<0。05)。结论:为胸外伤肋骨骨折患者实施疼痛护理干预可有效缓解其心理焦虑状态、改善睡眠及生活质量、缓解疼痛程度、加速康复进程,具有良好的护理满意度。
Effect of Pain Nursing Intervention on Postoperative Patients with Thoracic Trauma and Rib Fracture
Objective:To analyze the clinical effect of pain nursing intervention in patients with thoracic trauma after rib fracture.Methods:A total of 60 patients with chest trauma and rib fracture admitted to Tianjin Hospital from January to December 2022 were selected as observation objects,and were divided into a control group and an observation group according to computer randomization method,with 30 cases in each group.The control group was treated with general nursing,the observation group was treated with general nursing combined with pain nursing intervention.The psychological state,sleep quality,quality of life,pain degree,pain factor level,time index and nursing satisfaction were compared between the two groups.Results:After nursing,the levels of Self-rating Anxiety Scale,the Pittslourgh Sleep Quality Index score and serum 5-hydroxytryptamine and norepinephrine in observation group were lower than those in control group,and the MOS Item Short Form Health Survey was higher than that in control group,with statistically significant(P<0.05).After 1,2,3 and 7 days of nursing,the visual analog pain scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).The postoperative pain duration and hospitalization time of control group were shorter than those of control group,with statistically significant(P<0.05).The total nursing satisfaction in the observation group was 96.67%,which was higher than 76.67%in the control group,the difference was statistically significant(P<0.05).Conclusion:Pain nursing intervention for patients with rib fracture of chest trauma can effectively relieve their psychological anxiety,improve sleep and quality of life,relieve pain degree,accelerate rehabilitation process,and have good nursing satisfaction.

Rib fractureThoraole traumaPain nursing intervention

吴芒

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天津市天津医院心胸外科,天津 300000

肋骨骨折 胸部外伤 疼痛护理干预

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
年,卷(期):2024.32(20)