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Open Access Article

Journal of Advances in Clinical Nursing. 2022; 1: (5) ; 76-78 ; DOI: 10.12208/j.jacn.20220221.

Application effect of integrated and synergistic nursing of Chinese and Western medicinein pain after orthopaedic surgery
中西医集成增效护理在骨科术后疼痛中的应用效果

作者: 贺宗婷 *

常熟市梅李人民医院 江苏苏州

*通讯作者: 贺宗婷,单位:常熟市梅李人民医院 江苏苏州;

发布时间: 2022-09-15 总浏览量: 254

摘要

目的 观察骨折术后疼痛采用中西医集成增效护理的效果。方法 随机将86例骨折手术患者分成两组,对照组、研究组各43例。给予对照组普通护理,研究组采取中西医集成增效护理。对比两组的VAS分数、护理满意度、住院费用及时间、并发症率和SAS分数。结果 对比两组术后1.5h、24h、72h的VAS评分,研究组明显低于对照组(P<0.05);对比两组的护理满意度,研究组明显高于对照组(P<0.05);对比两组的住院费用、住院时间,研究组均比对照组低(P<0.05);比较两组的下肢深静脉血栓、部位感染、休克发生率,研究组均明显低于对照组(P<0.05);对比两组护理后的SAS评分,研究组明显低于对照组(P<0.05)。结论 将中西医集成增效护理用于骨折术后疼痛,改善了患者的护理满意程度,值得普及。

关键词: 中西医集成增效护理;骨科术后疼痛;疼痛视觉模拟评分

Abstract

Objective To analyze the effect of Integrated Chinese and Western medicine synergistic nursing on pain after orthopaedic surgery.
Methods 86 patients with fracture were randomly divided into two groups: control group and study group, 43 cases each. The control group was given general nursing, and the integrated and synergistic nursing of Chinese and Western medicine was used in the study group. VAS score, nursing satisfaction, hospitalization cost, hospitalization time, complication rate and SAS score were compared between the two groups.
Results the VAS scores of the two groups at 1.5h, 24h and 72h after operation were significantly lower in the study group than in the control group (P<0.05); The nursing satisfaction of the study group was significantly higher than that of the control group (P<0.05); Compared with the control group, the hospitalization cost and hospitalization time of the study group were lower (P<0.05); The incidence of deep venous thrombosis, site infection and shock in the study group was significantly lower than that in the control group (P<0.05); The SAS scores of the study group were significantly lower than that of the control group (P<0.05).
Conclusion   the integrated and synergistic nursing of Chinese and Western medicine is applied to the pain after fracture operation, which improves the patient's nursing satisfaction and is worth popularizing.

Key words: integrated and synergistic nursing of Chinese and Western medicine; Pain after orthopaedic surgery; Pain visual analog score

参考文献 References

[1] 曹国平,张家敏,牛聪,等.右美托咪定对老年患者骨科手术后睡眠质量的影响[J].临床麻醉学杂志,2018,34:67-70.

[2] 郝立净,李志华,陈聚朝,等.星状神经节阻滞对骨科全麻手术患者炎性应的影响[J].广东医学,2018,39: 745-748.

[3] 平建锋,孙文东,车斌,等.中西医结合治疗 Colles 骨折的临床疗效[J].中华中医药学刊,2018,36: 3055-3058.

[4] 张永强,曹青刚,赵建宁,等.全膝关节置换术中不同压力止血带与术后肢疼痛肿胀的关系[J].医学研究生学报,2018,31: 63-67.

[5] 于铁淼,苗会玲,高芳.中西医结合治疗膝关节骨性关节炎的疗效观察[J].辽宁中医杂志,2018,45: 771-773.

[6] 郑铭锋,汪翼凡,应小樟,等. 股骨粗隆间骨折老年患者实施中西医结合治疗对髋关节功能改善的影响[J].中华中医药学刊,2018,36:1717-1720.

[7] 范佳迪.医护一体化护理模式在骨科患者术后快速康复中的应用价值[J].重庆医学,2019,54: 412-413.

[8] 刘志强,周长源,彭金珠,等.鞘内注射舒芬太尼与芬太尼在老年下肢骨科手术中的应用[J].中国老年学杂志,2020,32(40): 76-79.

[9] 单作新,李峰.穴位按摩联合中医情志护理干预在下肢骨折术后护理中的应用及对功能恢复的影响[J].广东医学,2019,27(40): 128-131.

[10] 吴群.综合护理干预骨科患者术后疼痛效果临床观察[J].中国全科医学,2019,27(22): 200-202.

引用本文

贺宗婷, 中西医集成增效护理在骨科术后疼痛中的应用效果[J]. 临床护理进展, 2022; 1: (5) : 76-78.