摘要
目的分析四肢骨折术后肢体肿胀患者采用护理干预对其康复效果的临床价值。方法 94例四肢骨折患者,采用奇偶法分为对照组和观察组,每组47例。对照组患者采用常规护理,观察组患者采用护理干预。比较两组患者术后7 d肿胀程度、术后疼痛程度、术后生活质量评分、术后肢体肿胀消失时间。结果观察组患者术后7 d肿胀程度优于对照组,差异具有统计学意义(P<0.05);且观察组患者术后7 d肿胀程度的正常率显著高于对照组,差异具有统计学意义(P<0.05)。观察组患者术后无痛6例、轻度疼痛32例、中度疼痛8例、重度疼痛1例、剧烈疼痛0例,对照组患者术后无痛1例、轻度疼痛15例、中度疼痛20例、重度疼痛7例、剧烈疼痛4例;观察组患者的术后疼痛程度低于对照组,差异具有统计学意义(P<0.05)。观察组患者的日常生活质量评分、日常活动质量评分、压抑心理评分、焦躁心理评分均显著高于对照组,差异均具有统计学意义(P<0.05)。观察组患者术后肢体肿胀消失时间为(5.21±0.21)d,显著短于对照组的(7.65±0.84)d,差异具有统计学意义(t=19.3195, P=0.0000<0.05)。结论四肢骨折术后肢体肿胀患者采用护理干预可以取得显著的护理效果,不仅可以改善患者的四肢肿胀程度,降低患者的疼痛感,还可以提升患者的临床生活质量,可以在临床上进行推广。
Objective To analyze the clinical value of nursing intervention on rehabilitation of limb swelling patients after limb fracture surgery. Methods A total of 94 patients with limb fracture were divided by parity method into control group and observation group, with 47 cases in each group. Patients in the control group were treated with routine nursing, while patients in the observation group were treated with nursing intervention. Comparison was drawn on the swelling degree at 7 d after the operation, postoperative pain degree, postoperative quality of life score, and the disappearance time of extremity swelling after operation between the two groups. Results The swelling degree of the observation group was better than that of the control group at the 7 d after operation, the difference was statistically significant(P<0.05);and the normal rate of swelling degree of the observation group was significantly higher than that of the control group at 7 d after operation, the difference was statistically significant(P<0.05). After operation, there were 6 cases of painless, 32 cases of mild pain, 8 cases of moderate pain, 1 case of severe pain and 0 case of acute pain in the observation group;there were 1 case of painless, 15 cases of mild pain, 20 cases of moderate pain, 7 cases of severe pain and 4 cases of acute pain in the control group. Postoperative pain degree of patients in the observation group was lower than that of the control group, and the difference was statistically significance(P<0.05). The daily quality of life score, daily activity quality score, depression psychological score and anxiety psychological score in the observation group were all significantly higher than those in the control group, and the difference was statistically significant(P<0.05). The disappearance time of extremity swelling in the observation group was(5.21±0.21) d, which was significantly shorter than(7.65±0.84) d of the control group, and the difference was statistically significant(t=19.3195, P=0.0000<0.05). Conclusion Nursing intervention for patients with limb swelling after limb fracture surgery can achieve remarkable nursing effect. It can not only improve the degree of limb swelling and reduce pain of patients, but also improve the life quality of patients. It could be popularized in clinically.
作者
张雪燕
ZHANG Xue-yan(Six Surgical Department, Agricultural Reclamation Center Hospital, Zhanjiang 524002, China)
出处
《中国实用医药》
2019年第25期128-130,共3页
China Practical Medicine
关键词
护理干预
四肢骨折
肢体肿胀
康复效果
Nursing intervention
Limb fracture
Extremity swelling
Recovery effect
