基于保护动机理论联合针对性护理对骨盆骨折患者疼痛程度和并发症的影响
Impact of combined targeted nursing based on protective motivation theory on pain severity and complications in patients with pelvic fractures
任凭1
作者信息
- 1. 744000 甘肃省平凉市,甘肃医学院附属医院创伤关节运动科
- 折叠
摘要
目的 探究基于保护动机理论(PMT)联合针对性护理在骨盆骨折患者临床护理中的应用效果及其对患者疼痛程度和并发症的影响.方法 选择2021年6月-2023年12月医院收治的骨盆骨折患者88例,在组间基线资料均衡可比的原则上,按随机数字表法分成两组,各组44例.对照组采取常规护理模式,观察组采取基于PMT联合针对性护理.对比两组患者疼痛程度、生活质量综合问卷(GQOL-74)评分以及并发症.结果 护理干预前,两组患者疼痛程度评分对比差异均无统计学意义(P＞0.05);干预24h、72h、7d后,两组患者疼痛程度评分逐渐降低,且观察组患者各时段的疼痛程度评分均低于对照组,差异有统计学意义(P＜0.05).护理干预前,两组患者GQOL-74各维度评分对比差异均无统计学意义(P＞0.05);干预后,两组患者GQOL-74各维度评分均提高,且观察组高于对照组,差异有统计学意义(P＜0.05).护理干预后,观察组患者的并发症发生率(4.55％)相较于对照组(18.18％)更低,差异有统计学意义(P＜0.05).结论 基于PMT联合针对性护理能有效缓解患者的疼痛程度,改善其生活质量水平,减少并发症的发生.
Abstract
Objective Exploring the application effect of protective motivation theory(PMT)combined with targeted nursing in clinical nursing of patients with pelvic fractures,and its impact on patient pain and complications.Methods Totally 88 patients with pelvic fractures admitted to the hospital from June 2021 to December 2023 were selected.Based on the principle of balanced and comparable baseline data between groups,they were divided into two groups using a random number table method,with 44 patients in each group.The control group received routine nursing care,while the observation group received targeted nursing based on PMT combination.Compare the pain level,GQOL-74 scores,and complications between two groups of patients.Results Before nursing intervention,there was no statistically significant difference in pain scores between the two groups of patients(P＞0.05).After intervention for 24 hours,72 hours,and 7 days,the pain scores of the two groups of patients gradually decreased,and the pain scores of the observation group were lower than those of the control group at all time periods,with statistical significance(P＜0.05).Before nursing intervention,there was no statistically significant difference in the GQOL-74 scores between the two groups of patients in all dimensions(P＞0.05).After intervention,the GQOL-74 scores in all dimensions were improved in both groups of patients,and the observation group was higher than the control group,with a statistically significant difference(P＜0.05).After nursing intervention,the incidence of complications in the observation group(4.55％)was lower than that in the control group(18.18％),and the difference was statistically significant(P＜0.05).Conclusion The combination of PMT and targeted nursing can effectively alleviate the pain level of patients,improve their quality of life,and reduce the occurrence of complications.
关键词
保护动机理论/骨盆骨折/疼痛程度/并发症Key words
Protective motivation theory/Pelvic fracture/Pain level/Complications引用本文复制引用
出版年
2024
NETL
NSTL
万方数据