摘要
目的对螺钉固定医治骨盆骨折者应用系统化护理的疼痛程度、功能障碍和恢复进程进行分析。方法分析2017年1月至2018年1月诊治骨盆骨折96例患者临床资料,均应用螺钉固定医治,并且按照随机数字表法分为2组,将常规护理48例患者作为对照组,将行系统化护理48例患者作为研究组,对比2组疼痛程度、功能障碍和恢复进程。结果研究组重度疼痛、中度疼痛所占比例分别为0、18.75%(9/48),比对照组的27.08%(13/48)、41.67%(20/48)低,差异有统计学意义(χ2=15.0361、5.9784,P<0.05);轻度疼痛、无疼痛所占比例分别为52.08%(25/48)、29.17%(14/48),比对照组的31.25%(15/48)、0高,差异有统计学意义(χ2=4.2857、16.3902,P<0.05);研究组功能障碍指数总评分(20.30±2.22)分,比对照组的(40.42±2.40)分低,差异有统计学意义(t=42.6376,P<0.05),且骨折愈合、卧床时间分别为(57.20±11.11)d、(4.30±1.20)d,均比对照组的(69.70±13.60)d、(8.41±1.39)d短,差异有统计学意义(t=4.9315、15.5064,P<0.05);研究组总并发症率4.17%(2/48),比对照组的20.83%(10/48)低,差异有统计学意义(χ2=6.0952,P<0.05)。结论选择螺钉固定医治骨盆骨折者应用系统化护理可减轻疼痛,减少功能障碍及加速其恢复进程,且减少并发症的发生。
Objective To analyze the degree of pain,dysfunction and recovery of patients with systemic fractures treated by screw fixation.Methods The clinical data of 96patients with pelvic fractures who had been diagnosed and treated in the Hospital between January 2017and January 2018 were analyzed.All cases were treated by screw fixation,and according to the random number table,thesepatients were divided into two groups:the 48patients given routine nursing were taken as the control group,whereas the other 48given systematic nursing were included in the study group.The pain intensity, dysfunction and recovery of patients in the two groups were compared.Results The proportions of patients with severe pain and moderate pain were respectively 0and 18.75%(9/48)in the study group, both lower than the control group,which were respectively 27.08%(13/48)and 41.67%(20/48)(χ2= 15.0361,5.9784,P <0.05),and the proportions of patients with mild pain and without pain were 52.08% (25/48)and 29.17%(14/48)in the study group,both higher than the control group,which were respectively 31.25%(15/48)and 0(χ2=4.2857,16.3902,P<0.05).The total Oswestry Dability Index (ODI)score was (20.30+2.22)points,lower than that in the control group,which was (40.42±2.40)and the time for fracture healing,time for lying in bed and length of hospital stay in the study group were (57.20± 11.11)d and (4.30±1.20)d both shown to be shorter than the control group (69.70±13.60)d,(8.41+1.39)d (t=42.6376,4.9315,15.5064,P<0.05).The incidence of complications in the study group was 4.17%(2/ 48),lower than 20.83%(10/48)in the control group (χ2=6.0952,P<0.05).Conclusion For patients with pelvic fractures treated by screw fixation,systematic nursing can relieve their pains,reduce dysfunction and boost their recovery,and yet incur fewer complications.
作者
张海艳
李连欣
Zhang Haiyan;Li Lianxin(Department of Orthopedics,Shandong Provincial Hospital,Jinan 250021,China)
出处
《中国实用护理杂志》
2018年第35期2749-2752,共4页
Chinese Journal of Practical Nursing
关键词
骨盆骨折
螺钉固定
系统化护理
功能障碍
恢复进程
Pelvic fracture
Screw fixation
Systematic nursing
Dysfunction
Recovery process
作者简介
通信作者:李连欣,Email:lyql395316666@163.com
