CAJ | 학술논문

目的：探讨无痛护理在跟骨骨折术后夜间痛患者中的应用及效果。方法将60例骨科住院病人随机分为对照组与实验组，每组各30例。对照组行常规护理，实验组在常规护理基础上开展无痛护理。通过更新护理人员的无痛理念，明确疼痛评估方法和疼痛护理记录，实施程序化疼痛健康教育，将无痛护理有效应用于跟骨骨折术后患者的夜间痛。联合采用疼痛数字评估法和夜间睡眠调查分级法比较两组术后夜间疼痛的发生情况。结果实施无痛护理后，患者夜间痛对睡眠影响程度明显减轻，夜间痛的发生率下降，实验组有效率均明显高于对照组，差异有统计学意义（P＜0．05）。结论无痛护理可以有效预防或减轻跟骨骨折患者术后夜间痛的发生，促进机体康复，提高患者的满意度，有利于护理质量的持续改进。
목적：탐토무통호리재근골골절술후야간통환자중적응용급효과。방법장60례골과주원병인수궤분위대조조여실험조，매조각30례。대조조행상규호리，실험조재상규호리기출상개전무통호리。통과경신호리인원적무통이념，명학동통평고방법화동통호리기록，실시정서화동통건강교육，장무통호리유효응용우근골골절술후환자적야간통。연합채용동통수자평고법화야간수면조사분급법비교량조술후야간동통적발생정황。결과실시무통호리후，환자야간통대수면영향정도명현감경，야간통적발생솔하강，실험조유효솔균명현고우대조조，차이유통계학의의（P＜0．05）。결론무통호리가이유효예방혹감경근골골절환자술후야간통적발생，촉진궤체강복，제고환자적만의도，유리우호리질량적지속개진。
Objective:To explore the effect of painless nursing in patients with calcaneal fractures postoperative pain at night.Methods:Total 60 cases of orthopaedic hospital patients were randomly divided into control group and experimental group, 30 cases in each group.The control group had routine nursing, the painless nursing was used in experimental group.By updating the paramedics painless concept, clear pain assessment method and pain nursing records, the implementation of procedural pain in health education, will be painless care effectively applied in postoperative patients with calcaneal fractures pain at night.Joint pain evaluation method is used and the night sleep stage method compare two groups of postoperative pain at night is happening.Results:After the painless nurs-ing, the patients pain at night to sleep affect significantly reduce, the incidence of pain at night fell, the experi-mental group effectiveness were significantly higher than that of control group, the difference was statistically signifi-cant ( P<0.05) .Conclusions:Painless nursing can effectively prevent or reduce the occurrence of calcaneal frac-tures patients postoperative pain at night, promote the body′s recovery, improve patient′s satisfaction, is helpful to improve the quality of nursing.