摘要
目的观察对膝关节骨折术后的患者实施疼痛护理后,其负性情绪及锻炼依从性的变化,分析疼痛控制护理的效果。方法选择2016年1月—2019年3月期间,于海南西部中心医院接受住院治疗的膝关节骨折患者100例,随机分为对照组与观察组,每组50例。对照组患者接受常规骨科护理,观察组患者则在接受常规护理的同时接受疼痛控制护理。对两组患者术后第3天和术后1个月的抑郁、焦虑情况以及锻炼依从性进行评估,对组间差异进行统计学分析。结果两组患者在术后3 d的焦虑评分、抑郁评分、以及锻炼依从性比较差异均无统计学意义(P>0.05);手术1个月后,接受疼痛控制护理的观察组患者的焦虑评分、抑郁评分分别为(40.12±1.49)分与(41.06±1.83)分,显著低于对照组患者(48.19±1.58)分与(52.26±2.75)分;且其锻炼依从性评分为(75.24±2.17)分,明显高于对照组患者(60.19±2.65)分,差异均有统计学意义(P<0.05)。结论对膝关节骨折术后的患者实施疼痛控制护理,可显著缓解其抑郁、焦虑等负性情绪,明显提升患者康复锻炼的自主性和依从性。因此,在骨科护理工作中加强疼痛护理的实践是十分有必要的。
Objective To observe the changes of negative emotions and exercise compliance in patients with postoperative pain nursing for knee fracture,and to analyze the effect of pain control nursing.Methods From January 2016 to March 2019,100 cases of knee fracture patients who were admitted to Hainan West Central Hospital were randomly divided into control group and observation group,50 cases in each group.Patients in the control group received routine orthopedic care,while patients in the observation group received pain control care while receiving routine care.The depression,anxiety and exercise compliance of the two groups were evaluated on the third day and one month after the operation,and the differences between the two groups were statistically analyzed.Results There were no significant differences in anxiety scores,depression scores and exercise compliance between the two groups on the third day after surgery(P>0.05).One month after the operation,the scores of anxiety and depression in the observation group receiving pain control nursing were respectively(40.12±1.49)and(41.06±1.83),which were significantly lower than(48.19±1.58)and(52.26±2.75)in the control group.The exercise compliance score was(75.24±2.17),whichwas significantly higher than(60.19±2.65)of the control group,and the above differences were statistically significant(P<0.05).Conclusion Pain control nursing for patients after knee fracture surgery can significantly alleviate their depression,anxiety and other negative emotions,and significantly improve the autonomy and compliance of patients with rehabilitation exercise.Therefore,it is necessary to strengthen the practice of pain nursing in orthopedic nursing.
作者
莫玉珠
王海燕
游锦燕
MOYuzhu;WANG Haiyan;YOU Jinyan(Hainan West Central Hospital,Danzhou 571700,China;Ninth People's Hospital Affiliated to Shanghai JiaoTong University School of Medicine,Shanghai 201999,China)
出处
《实用心脑肺血管病杂志》
2020年第S01期235-237,共3页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
疼痛控制护理
膝关节骨折
负性情绪
患者依从性
Pain control nursing
Knee fractures
Negative emotions
Patient compliance
