CAJ | 학술논문

目的了解护理干预对学龄期患儿肱骨髁上骨折术后疼痛的影响.方法将68例肱骨髁上骨折学龄期患儿分成实验组和对照组各34例.实验组患儿分别于术前0～3 h,术后12 h内,12～24h,＞24～48 h采取针对性护理干预,对照组给予常规护理.采用视觉类比量表(VAS)、儿童手术后疼痛行为量表(FLACC),对两组患儿疼痛程度进行评估比较.结果手术前和术后12 h,两组患儿对疼痛的感受和评估,差异无统计学意义(P＞0.05);术后12～24h实验组患儿VAS量表评分为(2.10±1.12)分,低于对照组(3.85±0.65)分,差异有统计学意义(Z=7.88,P＜0.01);实验组患儿FLACC量表评分为(6.55±1.12)分,低于对照组(7.85±1.14)分,差异有统计学意义(Z=4.743,P＜0.01);术后＞24～48h两组患儿VAS、FLACC量表评分比较差异均有统计学意义(P＜0.01).结论对学龄期骨折手术患儿实施适当护理干预措施,在骨折手术12 h后能够有效减少其疼痛感受程度,增加患儿的舒适度,有利于术后康复.
목적 료해호리간예대학령기환인굉골과상골절술후동통적영향.방법 장68례굉골과상골절학령기환인분성실험조화대조조각34례.실험조환인분별우술전0～3 h,술후12 h내,12～24h,＞24～48 h채취침대성호리간예,대조조급여상규호리.채용시각류비량표(VAS)、인동수술후동통행위량표(FLACC),대량조환인동통정도진행평고비교.결과 수술전화술후12 h,량조환인대동통적감수화평고,차이무통계학의의(P＞0.05);술후12～24h실험조환인VAS량표평분위(2.10±1.12)분,저우대조조(3.85±0.65)분,차이유통계학의의(Z=7.88,P＜0.01);실험조환인FLACC량표평분위(6.55±1.12)분,저우대조조(7.85±1.14)분,차이유통계학의의(Z=4.743,P＜0.01);술후＞24～48h량조환인VAS、FLACC량표평분비교차이균유통계학의의(P＜0.01).결론 대학령기골절수술환인실시괄당호리간예조시,재골절수술12 h후능구유효감소기동통감수정도,증가환인적서괄도,유리우술후강복.
Objective To evaluate the effects of non-pharmacological interventions on the postoperative pain in school-aged children with humeral supracondylar fracture.Methods 68 school-aged(6 - 12) children with humeral supracondylar fracture were randomly divided into the experimental group (n = 34) and control group(n = 34).Various non-pharmacological pain management measures were provided for the children in the experimental group.0-3 h before surgery,and at ＜ 12 h,12-24 h, ＞24 -48 h postoperatively.The intensity of postoperative pain was assessed by Visua AnalogueSeale (VAS) and FLACC Scale.Results There was no significant difference between the two groups at the 0 - 3 h pre-operation and first postoperative10 hours (P ＞0.05),At 12 -24 h, the scores of VAS between experimental group and control group were significantly difference [(2.10 ± 1.12) vs (3.85 ± 0.65), Z = 7.88, P ＜ 0.01]; the scores of FLACC in two groups were significantly difference[(6.55 ±1.12) vs (7.85 ±1.14) ,Z =4.743,P ＜0.01]; At ＞24 -48 h,the scores of VAS, FLACC were significantly difference between two groups (P ＜ 0.01).Conclusions Appropriate non-pharmacological nursing interventions can effectively reduce postoperative pain in school-aged children with humeral supracondylar fracture after 12 h postoperatively.