南昌大学学报（医学版）
南昌大學學報（醫學版）
남창대학학보（의학판）
ACTA ACADEMIAE MEDICINAE JIANGXI
2014年
7期
68-70
,共3页
上肢骨折%疼痛%护理干预
上肢骨摺%疼痛%護理榦預
상지골절%동통%호리간예
upper limb fractures%pain%nursing intervention
目的：探讨护理干预在减轻上肢骨折术后疼痛中的应用效果。方法将70例上肢骨折患者按随机数字表法分为2组：对照组35例给予常规护理，观察组35例在常规护理基础上从个体化镇痛、心理护理、呼吸训练、中医疗法、健康教育、体位护理及功能锻炼等方面对患者实施个体化护理干预。比较2组术后4～72 h VAS评分及睡眠时间，术后24、48 h镇痛药物的使用率，并对2组护理工作满意度进行评价。结果与对照组比较，观察组术后4～72 h VAS评分均明显降低（P＜0．05），术后4～72 h睡眠时间均明显延长（P＜0．05），术后24、48 h镇痛药物使用率均明显减少（P＜0．05），护理工作满意度明显提高（P＜0．05）。结论实施护理干预，能有效地减轻上肢骨折患者术后疼痛，促进患者术后恢复，改善患者术后睡眠状况，同时对提高护理工作满意度也有一定的积极意义。
目的：探討護理榦預在減輕上肢骨摺術後疼痛中的應用效果。方法將70例上肢骨摺患者按隨機數字錶法分為2組：對照組35例給予常規護理，觀察組35例在常規護理基礎上從箇體化鎮痛、心理護理、呼吸訓練、中醫療法、健康教育、體位護理及功能鍛煉等方麵對患者實施箇體化護理榦預。比較2組術後4～72 h VAS評分及睡眠時間，術後24、48 h鎮痛藥物的使用率，併對2組護理工作滿意度進行評價。結果與對照組比較，觀察組術後4～72 h VAS評分均明顯降低（P＜0．05），術後4～72 h睡眠時間均明顯延長（P＜0．05），術後24、48 h鎮痛藥物使用率均明顯減少（P＜0．05），護理工作滿意度明顯提高（P＜0．05）。結論實施護理榦預，能有效地減輕上肢骨摺患者術後疼痛，促進患者術後恢複，改善患者術後睡眠狀況，同時對提高護理工作滿意度也有一定的積極意義。
목적：탐토호리간예재감경상지골절술후동통중적응용효과。방법장70례상지골절환자안수궤수자표법분위2조：대조조35례급여상규호리，관찰조35례재상규호리기출상종개체화진통、심리호리、호흡훈련、중의요법、건강교육、체위호리급공능단련등방면대환자실시개체화호리간예。비교2조술후4～72 h VAS평분급수면시간，술후24、48 h진통약물적사용솔，병대2조호리공작만의도진행평개。결과여대조조비교，관찰조술후4～72 h VAS평분균명현강저（P＜0．05），술후4～72 h수면시간균명현연장（P＜0．05），술후24、48 h진통약물사용솔균명현감소（P＜0．05），호리공작만의도명현제고（P＜0．05）。결론실시호리간예，능유효지감경상지골절환자술후동통，촉진환자술후회복，개선환자술후수면상황，동시대제고호리공작만의도야유일정적적겁의의。
Objective To investigate the efficacy of nursing intervention for reducing postoper-ative pain in patients with upper limb fractures.Methods Seventy patients with upper limb frac-tures were randomly divided into control group and observation group,with 35 patients in each group.All patients received routine care.In addition,patients in observation group were given in-dividualized nursing intervention,including individualized analgesia,psychological nursing,breath-ing training,traditional Chinese medicine therapy,health education,postural care and functional training.The VAS pain score and sleep time were compared between the two groups 4-72 hours after operation.The usage rate of analgesic drugs was compared between the two groups 24 and 48 hours after operation.Moreover,patient satisfaction with nursing care was evaluated in both groups.Results Compared with control group,individualized nursing intervention decreased VAS score 4-72 hours after operation,prolonged sleep time 4-72 hours after operation,reduced usage rate of analgesic drugs 24 and 48 hours after operation,and improved patient satisfaction with nursing care (P<0.05).Conclusion Nursing intervention can reduce postoperative pain,promote postoperative recovery,improve postoperative sleep and increase nursing satisfaction in patients with upper limb fractures.
