足踝外科电子杂志2024，Vol.11Issue(1) ：29-33.

舒适护理联合疼痛干预对足踝部骨折患者疼痛度及负性情绪的影响分析

Evaluation of the impact of comfort care and combined pain intervention on pain degree and negative mood in patients with foot and ankle fracture

朱静 李源 叶秀 季荔 刘玉琴
足踝外科电子杂志2024，Vol.11Issue(1) ：29-33.
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舒适护理联合疼痛干预对足踝部骨折患者疼痛度及负性情绪的影响分析

Evaluation of the impact of comfort care and combined pain intervention on pain degree and negative mood in patients with foot and ankle fracture

朱静 1李源 1叶秀 1季荔 1刘玉琴1
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作者信息

  • 1. 泰兴市人民医院骨科,江苏泰兴 225400
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摘要

目的 分析足踝部骨折应用舒适护理联合疼痛干预的临床价值.方法 将2021年6月至2023年6月泰兴市人民医院收治的96例足踝部骨折患者按随机数字表法分为对照组(48例,常规护理)、观察组(48例,舒适护理联合疼痛干预),比较两组的临床效果.结果 观察组总有效率比对照组高(P＜0.05).干预前,两组临床症状评分比较无差异(P＞0.05);干预后,观察组疼痛、肿胀、踝关节功能障碍、皮下淤血临床症状评分均低于对照组(P＜0.05).干预前,两组的视觉模拟评分法(visual analogue scale,VAS)评分比较无差异(P＞0.05);干预后,观察组术后6 h、3d、5d的VAS评分低于对照组(P＜0.05).干预前,两组的抑郁自评量表(self-rating depression scale,SDS)评分、焦虑自评量表(self-rating anxiety scale,SAS)评分对比无差异(P＞0.05);干预后,观察组SDS、SAS评分低于对照组(P＜0.05).干预前,两组舒适状况量表(general comfort questionnaire,GCQ)各维度评分比较无差异(P＞0.05);干预后,观察组GCQ量表中环境、社会文化、生理、心理及总分均高于对照组(P＜0.05).观察组护理总满意度比对照组高(P＜0.05).观察组生活质量综合评定问卷-74(generic quality of life inventory-74,GQOL-74)中心理功能、生活状态、躯体功能、社会功能评分均高于对照组(P＜0.05).结论 舒适护理联合疼痛干预治疗足踝部骨折的效果更突出,可显著改善患者的疼痛程度和不良情绪,对提升其生活质量水平有很大的促进作用.

Abstract

Objective To analyze the clinical value of comfort nursing combined with pain intervention in foot and ankle fractures.Methods A total of 96 patients with foot and ankle fractures admitted to Taixing People's Hospital from June 2021 to June 2023 were divided into control group(48 cases,routine nursing)and observation group(48 cases,comfort nursing combined with pain intervention)according to the random number table method.The clinical effects of the two groups were compared.Results The total effective rate of the observation group was higher than that of the control group(P＜0.05).Before intervention,there was no difference in the scores of clinical symptoms between the two groups(P＞0.05).After intervention,the clinical symptom scores of pain,swelling,ankle dysfunction and subcutaneous congestion in the observation group were lower than those in the control group(P＜0.05).Before intervention,there was no difference in the score of visual analogue scale(VAS)between the two groups(P＞0.05).After intervention,the VAS scores of the observation group were lower than those of the control group at 6 h,3 d and 5 d after operation(P＜0.05).Before the intervention,there was no difference in the scores of self-rating depression scale(SDS)and self-rating anxiety scale(SAS)between the two groups(P＞0.05).After intervention,the SDS and SAS scores of the observation group were lower than those of the control group(P＜0.05).Before intervention,there was no difference in general comfort questionnaire(GCQ)scores between the two groups(P＞0.05).After intervention,the environment,social culture,physiology,psychology and total score of GCQ in the observation group were higher than those in the control group(P＜0.05).The total satisfaction of the observation group was higher than that of the control group(P＜0.05).After intervention,the scores of psychological function,living state,physical function and social function in generic quality of life inventory-74(GQOL-74)in the observation group were higher than those in the control group(P＜0.05).Conclusion The effect of comfort nursing combined with pain intervention in the treatment of foot and ankle fractures is more prominent,which can significantly improve the degree of pain and negative emotions of patients,and promote the level of their quality of life.

关键词

舒适护理/疼痛干预/足踝部骨折/疼痛度/负性情绪

Key words

comfort care/pain intervention/foot and ankle fracture/pain degree/negative mood

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出版年

2024
足踝外科电子杂志

足踝外科电子杂志

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