疼痛控制护理在创伤性骨折患者术后康复中的应用研究

聂薇　刘丽芳　彭芳

[摘要] 目的 探究疼痛控制护理干预在创伤性骨折患者术后康复护理中的作用。 方法 选取我院2013年5月～2015年5月收治的创伤性骨折患者共72例，依据入院时间顺序随机分为对照组（n=35）与观察组（n=37），对照组接受常规护理，观察组接受术后疼痛控制护理，比较两组患者护理后疼痛程度、运动功能、护理满意度及焦虑抑郁程度。 结果 观察组的VAS评分明显低于对照组（P<0.05）；观察组运动功能MAS评分明显高于对照组（P<0.05）；观察组护理满意度为94.4%，明显高于对照组的71.4%（P<0.05）；观察组护理后焦虑抑郁SAS、SDS量表评分均明显低于对照组（P<0.05）。 结论 对创伤性骨折患者术后实施疼痛控制护理干预可以有效地减轻术后疼痛，提高术后运动功能与护理满意度，改善术后焦虑、抑郁等不良情绪，简单易实施，值得临床护理借鉴。

[关键词] 疼痛控制护理；创伤性骨折；康复

[中图分类号] R274.1 [文献标识码] A [文章编号] 1674-4721（2016）02（c）-0161-03

[Abstract] Objective To explore the effect of pain control nursing intervention on postoperative rehabilitation nursing of patients with traumatic fracture. Methods A total of 72 patients with traumatic fractures were treated in our hospital from May 2015 to May 2013.72 patients were randomly divided into the control group （n=35） and observation group （n=37），the control group was received routine nursing care，and the observation group was treated with postoperative pain control nursing，the degree of pain，motor function，nursing satisfaction and degree of anxiety and depression between were compare between the two groups. Results The score of pain（VAS） in the observation group was significantly lower than that of control group（P<0.05）；The sports function（MAS） score in the observation group was significantly higher than that of control group（P<0.05）；The nursing satisfaction of the observation group was 94.4%，significantly higher than that of control group 71.4%（P<0.05）；The scores of anxiety and depression（SDS SAS） in the observation group were significantly lower than those of control group（P<0.05）. Conclusion The postoperative pain control nursing intervention can effectively reduce postoperative pain，improve postoperative motor function and nursing satisfaction，improve postoperative anxiety and depression，and other adverse emotions，simple and easy to implement，it is worthy of clinical nursing.

[Key words] Pain control nursing；Traumatic fracture；Rehabilitation

随着社会的不断进步发展，意外事故的发生率不断上升，临床上由意外、车祸等原因导致的创伤性骨折发病率约占骨折的18.4%，其中主要以四肢骨折为主[1]。创伤性骨折有损伤程度重、病情复杂、致死、致残率高等特点[2]，术后主要并发症为疼痛，疼痛的程度与持续时间与术后尽早恢复骨折部位运动功能有重要意义[3]，同时疼痛应激可导致78%～80%患者发生焦虑、烦躁等不良情绪，负性应激反应不利于骨折的恢复[4-5]，故创伤性骨折患者术后有效疼痛控制至关重要。本研究主要对创伤性骨折患者术后实施疼痛控制护理干预，取得了较好的效果，现报道如下。

1 资料与方法

1.1 一般资料

选取我院2013年5月～2015年5月收治的创伤性骨折患者共72例，纳入与排除标准：①纳入研究患者依据影像学等检查明确创伤性骨折诊断[6]，且治疗方法采取外科手术治疗。②骨折处无合并神经功能损伤。③患者无合并心、肝、肾等重要脏器损伤或功能不全。④排除合并意识障碍的患者。……