系统性疼痛护理在下胫腓联合损伤术后患者中的应用效果

doi:10.3760/cma.j.issn.1007-1245.2024.03.020

国际医药卫生导报 ›› 2024, Vol. 30 ›› Issue (3): 448-452.DOI: 10.3760/cma.j.issn.1007-1245.2024.03.020

系统性疼痛护理在下胫腓联合损伤术后患者中的应用效果

刘彦会¹ 程亚栋² 陈东宁²

¹新郑市公立人民医院创伤外科，新郑　451100；²郑州大学附属郑州市中心医院骨科，郑州　450007

收稿日期:2023-06-09 出版日期:2024-02-01 发布日期:2024-03-06
通讯作者: 刘彦会，Email：liuyanhui1597@126.com
基金资助:
2021年度河南省医学科技计划省部共建青年项目（SBGJ202103104）

Effect of systematic pain nursing for patients with lower tibiofibular combined injury after surgery

Liu Yanhui¹, Cheng Yadong², Chen Dongning²

¹Department of Traumatic Surgery, Xinzheng Public People's Hospital, Xinzheng 451100, China; ²Department of Orthopedics, Zhengzhou Central Hospital, Zhengzhou University, Zhengzhou 450007, China

Received:2023-06-09 Online:2024-02-01 Published:2024-03-06
Contact: Liu Yanhui, Email: liuyanhui1597@126.com
Supported by:
Provincial Co-construction Youth Project of Plan of Medical Science and Technology in Henan in 2021 (SBGJ202103104)

摘要/Abstract

摘要：

目的　探究系统性疼痛护理在下胫腓联合损伤术后患者中的应用效果。方法　选取2019年7月至2023年1月就诊于新郑市公立人民医院的下胫腓联合损伤患者105例进行随机对照试验，均接受手术治疗。采用随机数字表法将其分为对照组52例和观察组53例。对照组男27，女25例，年龄20～56（35.64±5.26）岁。观察组男29例，女24例，年龄22～57（36.11±6.03）岁。对照组给予常规护理；在对照组基础上，观察组给予系统性疼痛护理。对比两组视觉模拟量表（VAS）、匹兹堡睡眠质量量表（PSQI）、焦虑自评量表（SAS）、Kolcaba舒适状况量表（GCQ）、生活质量综合评定问卷-74（GQOL-74）评分。采用t检验、χ²检验及重复测量的方差分析。结果　术后3 d、出院时，观察组VAS评分均低于对照组［（2.36±0.63）分比（3.02±0.71）分、（2.01±0.33）分比（2.67±0.52）分；t=5.041、7.781，均P<0.05］。出院时，观察组SAS、PSQI评分分别为（41.24±5.28）分、（7.35±0.84）分，低于对照组的（45.67±5.30）分、（9.24±1.03）分，GCQ评分（93.74±6.79）分，高于对照组的（88.90±8.13）分（t=4.290、10.313、3.313，均P<0.05）。出院时，观察组GQOL-74评分（82.34±6.54）分，高于对照组的（79.01±5.49）分（t=2.823，P=0.006）。结论　系统性疼痛护理可缓解下胫腓联合损伤术后患者疼痛程度，减轻睡眠障碍，提高住院舒适度，还能改善情绪状态，提升生活质量。

关键词:

系统性, 疼痛, 护理, 下胫腓, 联合损伤

Abstract:

Objective　To explore the effect of systematic pain nursing for patients with lower tibiofibular combined injury after surgery. Methods　One hundred and five patients with lower tibiofibular combined injury treated at Xinzheng Public People's Hospital from July 2019 to January 2023 were selected for the randomized controlled trial. All of them were surgically treated. They were divided into a control group (52 cases) and an observation group (53 cases) by the random number table method. There were 27 males and 25 females in the control group; they were 20-56 (35.64±5.26) years old. There were 29 males and 24 females in the observation group; they were 22-57 (36.11±6.03) years old. The control group took routine care; in addition, the observation group took systematic pain care. The scores of Visual Analogue Scale (VAS), Pittsburgh Sleep Quality Inventory (PSQI), Self-rating Anxiety Scale (SAS), Kolcaba Comfort Scale (GCQ), and Comprehensive Quality of Life Questionnaire 74 (GQOL-74) were compared between the two groups. t test, χ² test, and analysis of variance for repeated measurements were used. Results　Three days after the surgery and when they discharged, the scores of VAS in the observation group were lower than those in the control group [(2.36±0.63) vs. (3.02±0.71) and (2.01±0.33) vs. (2.67±0.52); t=5.041 and 7.781; both P<0.05]. When they discharged, the scores of SAS, PSQI, and GCQ in the observation group were better than those in the control group [(41.24±5.28) vs. (45.67±5.30), (7.35±0.84) vs. (9.24±1.03), and (93.74±6.79) vs. (88.90±8.13); t=4.290, 10.313, and 3.313; all P<0.05]. When they discharged, the score of GQOL-74 in the observation group was higher than that in the control group [(82.34±6.54) vs. (79.01±5.49); t=2.823; P=0.006]. Conclusion　Systematic pain nursing for patients with lower tibiofibular combined injury after surgery can significantly alleviate their pain and alleviate sleep disorders, and improve their hospital comfort, emotional state, and quality of life.

Key words:

Systemic, Pain, Nursing, Lower tibiofibular, Combined injury

刘彦会程亚栋陈东宁.

系统性疼痛护理在下胫腓联合损伤术后患者中的应用效果 [J]. 国际医药卫生导报, 2024, 30(3): 448-452.

Liu Yanhui, Cheng Yadong, Chen Dongning.

Effect of systematic pain nursing for patients with lower tibiofibular combined injury after surgery [J]. International Medicine and Health Guidance News, 2024, 30(3): 448-452.

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系统性疼痛护理在下胫腓联合损伤术后患者中的应用效果

Effect of systematic pain nursing for patients with lower tibiofibular combined injury after surgery

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