基于疼痛控制的互动式舒适护理策略在创伤性骨折患儿中的应用OA
Application of interactive comfort nursing strategy based on pain control in children with traumatic fractures
目的 探讨对创伤性骨折患儿实施互动式舒适护理联合疼痛控制的作用效果.方法 选择 2021 年 9 月至2022 年9 月南华大学附属第二医院收治的96 例创伤性骨折患儿,根据随机数字表法进行分组,对照组和观察组各48 例.对照组给予骨科常规护理结合疼痛控制,在此基础上,观察组实施互动式舒适护理.比较2 组的恢复相关指标、心理状态、疼痛程度、应激障碍及康复依从性.结果 观察组的疼痛完全消失时间、局部肿胀消失时间及骨折愈合时间均早于对照组,住院时间短于对照组,康复依从率高于对照组(P均<0.05).出院时和术后 3 个月,观察组的儿童焦虑量表(SCAS)、儿童抑郁量表(CDI)、视觉模拟评分法(VAS)及创伤后应激障碍自评量表(PTSD-SS)评分均较同一时间对照组更低(P均<0.05),且2 组均较同组术后第 1 天更低(P均<0.05).结论 互动式舒适护理结合疼痛控制对创伤性骨折患儿的干预效果显著,不仅可以改善心理状态、疼痛程度和应激障碍,还能提升康复依从性,促进术后恢复.
Objective To explore the effect of interactive comfort nursing combined with pain control on children with traumatic fractures.Methods A total of 96 children with traumatic fractures admitted to the Second Hospital,University of South China from September 2021 to September 2022 were selected and randomly divided into two groups using a random number table method,with 48 cases in the control group and 48 cases in the observation group.The control group received routine orthopedic nursing combined with pain control,and on this basis,the observation group received interactive comfort nursing.The recovery related indicators,psychological status,pain degree,stress disorder,and rehabilitation compliance of the two groups were compared.Results The observation group had earlier complete pain disappearance time,local swelling disappearance time,and fracture healing time than the control group,shorter hospitalization time,and higher rehabilitation compliance rate than the control group(all P<0.05).At discharge and 3 months after surgery,the observation group had lower scores on the Spence Children's Anxiety Scale(SCAS),Children's Depression Inventory(CDI),Visual Analogue Scale(VAS),and Post-Traumatic Stress Disorder Self-Rating Scale(PTSD-SS)compared to the control group at the same time(all P<0.05),and both groups had lower scores on the first day after surgery compared to the same group(all P<0.05).Conclusion The intervention effect of interactive comfort nursing combined with pain control on children with traumatic fractures is significant.It can not only improve their psychological status,pain degree,and stress disorder,but also enhance rehabilitation compliance and promote postoperative recovery.
冯亚青;李娟;李亦嘉;钟志娇
南华大学附属第二医院,湖南 衡阳,421001南华大学附属第二医院,湖南 衡阳,421001南华大学附属第二医院,湖南 衡阳,421001南华大学附属第二医院,湖南 衡阳,421001
临床医学
创伤性骨折儿童互动式舒适护理疼痛控制应激障碍
traumatic fracturechildreninteractive comfort nursingpain controlstress disorder
《中西医结合护理(中英文)》 2025 (1)
17-20,4
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