卢巧英 李莉 邓晓雪 杨晨炼 李开艳

[摘要] 目的 探讨观察舒适护理模式对小儿肱骨髁上骨折后患儿恐惧及疼痛程度的影响。 方法 选取2018年3月～2019年3月入住我院的肱骨髁上骨折患儿92例，按护理方式分为两组，每组46例。对照组给予常规护理，研究组在常规护理的基础上给予舒适护理，比较两组患儿的恐惧程度、疼痛程度及恢复情况。 结果 研究组恐惧程度低于对照组（P<0.05），研究组疼痛程度低于对照组（P<0.05），研究组恢复情况优于对照组（P<0.05）。 结论 在护理肱骨髁上骨折患儿的过程当中，采取舒适护理能降低患儿的恐惧程度、疼痛程度，提高恢复速度，确保治疗效果，值得在临床上多加广泛推广与应用。

[关键词] 舒适护理;小儿肱骨髁上骨折;恐惧程度;疼痛程度

[中图分类号] R473.72          [文献标识码] B          [文章编号] 1673-9701（2020）16-0184-03

Observation of the effect of comfort nursing model on the degree of fear and pain in children with supracondylar fracture of humerus

LU Qiaoying LI Li DENG Xiaoxue YANG Chenlian LI Kaiyan

Department of Pediatric Orthopedics， Maternal and Child Health Hospital of Guiyang City， Guiyang   550003， China

[Abstract] Objective To explore and observe the effect of comfort nursing model on the degree of fear and pain in children with supracondylar fracture of humerus. Methods 92 children with supracondylar fracture of humerus admitted to our hospital from March 2018 to March 2019 were selected and divided into two groups according to nursing methods， with 46 cases in each group. The control group was given routine care while the study group was given comfort care on the basis of routine care. The degree of fear and pain and recovery of the two groups were compared. Results The degree of fear in the study group was lower than that in the control group（P<0.05）， the degree of pain in the study group was lower than that in the control group（P<0.05）， and the recovery of the study group was better than that of the control group（P<0.05）. Conclusion In the process of nursing children with supracondylar fracture of humerus， comfort nursing can reduce the degree of fear and pain of children， improve recovery speed and ensure therapeutic effect， so it is worthy of more extensive promotion and application in clinical practice.

[Key words] Comfort nursing; Children with supracondylar fracture of humerus; Degree of fear; Degree of pain

在小兒骨折中比较容易出现的一种就是肱骨髁上骨折，由于患儿的肱骨髁上部位正好处在重建的时期，其皮骨质还比较薄弱，所以在摔倒及受到极大外力的过程中，身体的肱骨髁和前倾肱骨的相连处非常容易出现骨折[1]。因骨头受到损伤以及在骨折后出现的剧烈疼痛会对患儿的身心产生明显的反应，如何在护理过程中降低患儿的恐惧感和疼痛感，减轻其身心压力，使患儿能积极良好的配合治疗和护理是达到理想治疗效果的重中之重[2]。舒适护理主要是以患儿自身的感觉及感受为根本，在治疗及康复的过程中协助医师，有利于提升患儿在治疗过程中的依从性，避免患儿出现不适感，确保治疗效果，提高患者的康复速度[3]。我院在护理肱骨髁上骨折患儿的过程当中，采取舒适护理，取得较为明显的实效性，现报道如下。

1 资料与方法

1.1 一般资料

选取2018年3月～2019年3月入住我院的肱骨髁上骨折患儿92例，按护理方式分为两组，每组46例。……