疼痛控制护理对膝关节骨折术后患者膝关节功能的影响

Effect of pain control nursing on postoperative knee joint function in knee joint fracture patients

  • 摘要:
      目的  探讨疼痛控制护理对膝关节骨折术后患者膝关节功能的影响。
      方法  采用随机抽样法选取92例膝关节骨折手术患者,按平行对照法均分为2组,对照组采用常规护理,研究组在对照组基础上加强疼痛控制护理,比较2组的干预效果。
      结果  研究组术后1、3、5 d时的视觉模拟评分法(VAS)评分显著低于对照组(P < 0.05); 干预后,研究组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分及康复锻炼依从率显著优于对照组(P < 0.05); 随访6个月,研究组膝关节功能优良率显著高于对照组(P < 0.05)。
      结论  膝关节骨折术后行疼痛控制护理可缓解患者疼痛,调节患者心理状态,提升康复锻炼依从性,改善膝关节功能。

     

    Abstract:
      Objective  To investigate the effect of pain control nursing on postoperative knee function after knee fracture.
      Methods  A total of 92 patients with knee fracture were randomly selected, and were divided into control group (46 cases) with routine nursing, and study group (46 cases) with strengthened pain control nursing on the basis of the control group by parallel control grouping. The effects of interventions were compared between the two groups.
      Results  Visual Analogue Scale (VAS) scores in the study group were lower than those in the control group at 1, 3 and 5 d after operation (P < 0.05). After intervention, Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) scores and compliance rate of rehabilitation exercise of the study group were higher than those of the control group (P < 0.05). After 6 months of follow-up, the rate of good and excellent knee function was higher than that of the control group (P < 0.05).
      Conclusion  Postoperative pain control nursing for knee fracture can relieve the pain of patients, regulate the psychological states, improve the compliance of rehabilitation exercise, and improve the function of knee joints.

     

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