龙婷婷

[摘要] 目的 探討创伤性骨折患者开展疼痛控制护理对术后康复产生的影响。方法 方便选取该院2017年2月—2019年4月的60例创伤性骨折患者，随机分组，常规护理组对于该院的创伤性骨折患者给予常规护理，常规护理联合疼痛控制护理组对于该院的创伤性骨折患者开展常规护理联合疼痛控制护理。比较效果。结果 常规护理联合疼痛控制护理组的满意度是100.00%（30/30），常规护理组则是70.00%（21/30），差异有统计学意义（χ2=8.366，P<0.05）。护理前两组上下肢行走功能FMA评分、NRS疼痛评分、机体应激性监测指标接近，差异无统计学意义（P>0.05）;护理后常规护理联合疼痛控制护理组上下肢行走功能FMA评分、NRS疼痛评分、机体应激性监测指标优于常规护理组，差异有统计学意义（P<0.05）;常规护理联合疼痛控制护理组术后卧床时间、术后持续疼痛时间、术后减痛药物使用日数、住院时间（1.24±0.24）d、（3.01±1.47）d、（2.24±0.13）d、（7.01±1.02）d优于常规护理组（5.40±1.14）d、（5.57±2.21）d、（5.40±1.24）d、（9.57±3.21）d，差异有统计学意义（t=6.056、7.141、6.451、7.167，P<0.05）。常规护理联合疼痛控制护理组术后并发症发生率更少，差异有统计学意义（χ2=5.880，P<0.05）。结论 创伤性骨折患者实施常规护理联合疼痛控制护理效果确切。

[关键词] 创伤性骨折患者;疼痛控制护理;术后康复

[中图分类号] R47          [文献标识码] A          [文章编号] 1674-0742（2020）09（a）-0137-03

[Abstract] Objective To explore the impact of pain control nursing on postoperative rehabilitation of patients with traumatic fractures. Methods Randomly group 60 traumatic fracture patients in the hospital from February 2017 to April 2019. The conventional care group gave routine care to the trauma fracture patients in the hospital， and the routine care combined with pain control nursing group gave routine care to the hospital of traumatic fracture patients carry out routine care combined with pain control care. Compare effects. Results The satisfaction rate of the routine care combined with pain control care group was 100.00%（30/30）， and that of the routine care group was 70.00%（21/30）， the difference was statistically significant（χ2=8.366，P<0.05）. Before nursing， the FMA score， NRS pain score， and body stress monitoring index of the upper and lower limbs of the two groups were similar， the difference was not statistically significant（P>0.05）; after nursing， the routine nursing combined with pain control nursing group had the upper and lower limb walking function FMA score， NRS pain score， and body stress monitoring indicators were better than those in the conventional nursing group， the difference was statistically significant（P<0.05）; in the conventional nursing combined with pain control nursing group， postoperative bed rest time， postoperative sustained pain time， postoperative pain reducing drug use days， hospital stay （1.24±0.24）d， （3.01±1.47）d， （2.24±0.13）d， （7.01±1.02）d were better than routine care group （5.40±1.14）d， （5.57±2.21）d， （5.40±1.24）d， （9.57±3.21）d， the difference was statistically significant（t=6.056，7.141，6.451，7.167，P<0.05）. The incidence of postoperative complications was less in the routine nursing combined with pain control nursing group， the difference was statistically significant（χ2=5.880， P<0.05）. Conclusion The effect of routine nursing combined with pain control nursing for patients with traumatic fracture is definite.

[Key words] Patients with traumatic fractures; Pain control care; Postoperative rehabilitation

创伤性骨折是临床常见病。手术治疗是创伤性骨折的有效治疗方法之一，但手术治疗期间出现术后并发症，严重影响创伤性骨折患者的身心健康和日常生活质量[1]，手术治疗期间的护理干预尤为重要，多数患者可出现疼痛症状，影响手术的顺利实施和术后的康复，常规护理联合疼痛控制护理在创伤性骨折的应用中，可以改善创伤性骨折患者疼痛症状，提高依从行为，减轻患者心理压力，并加速康复进程[2]。该研究将该院2017年2月—2019年4月收治的60例创伤性骨折患者，分析创伤性骨折患者开展疼痛控制护理对术后康复产生的影响，现报道如下。

1  资料與方法

1.1  一般资料

方便选取该院收治的60例创伤性骨折患者为研究对象，随机分组，常规护理联合疼痛控制护理组年龄21～54岁，平均年龄（32.67±6.45）岁;男15例，女15例，其中21例为下肢骨折，9例为上肢骨折。……