强化疼痛护理干预应用于急诊创伤骨科患者的效果评价

摘要

目的 探究强化疼痛护理干预应用于急诊创伤骨科患者的临床效果.方法 选取本院2016年1月至2017年1月收治的89例急诊创伤骨科患者实施常规护理(对照组),选取2017年2月至2018年2月收治的89例急诊创伤骨科患者实施强化疼痛护理(观察组).对比两组患者护理前后疼痛程度、睡眠质量变化及护理满意度.结果 观察组护理1周后轻度疼痛、中度疼痛、重度疼痛率分别为49.44％、41.57％、8.99％,对照组为28.09％、47.19％、24.72％,两组比较差异有统计学意义(P＜0.05);观察组护理后睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物及日间功能障碍评分分别为(0.52±0.14)、(2.24±1.24)、(0.48±0.21)、(3.05±0.65)、(4.33±1.13)、(0.72±0.32)及(3.14±0.56)分,均优于对照组的(1.78±0.31)、(6.36±1.15)、(2.36±0.43)、(7.42±0.54)、(14.53±1.37)、(2.54±0.47)及(6.92±0.63)分,两组比较差异均有统计学意义(均P＜0.05);观察组护理满意度为97.75％,高于对照组的83.15％,差异有统计学意义(P＜0.05).结论 强化疼痛护理干预应用于急诊创伤骨科患者可有效减轻其疼痛程度,提高睡眠质量及护理满意度,值得推广应用.%Objective To explore the effect of intensive pain nursing intervention in traumatic orthopedic patients in emergency department.Methods Eighty-nine emergency traumatic orthopedic patients in our hospital from January 2016 to January 2017 were given routine nursing (control group),and eighty-nine emergency traumatic orthopedic patients in our hospital from February 2017 to February 2018 were given intensive pain nursing (observation group).The pain degree,sleep quality before and after nursing,and nursing satisfaction were compared between the two groups.Results The incidence of mild pain,moderate pain,and severe pain in the observation group were 49.44％,41.57％,and 8.99％,respectively after 1 week of nursing,those in the control group were 28.09％,47.19％,24.72％,with statistically significant difference (P＜0.05).The scores of quality of sleep,sleep latency,sleep time,sleep efficiency,sleep disorder,hypnotic drugs,and daytime dysfunction in the observation group were (0.52±0.14),(2.24±1.24),(0.48±0.21),(3.05±0.65),(4.33±1.13),(0.72±0.32),and (3.14±0.56),which were better than those in the control group [(1.78±0.31),(6.36± 1.15),(2.36±0.43),(7.42±0.54),(14.53±1.37),(2.54±0.47),(6.92±0.63)],with statistically significant differences (P＜0.05).The nursing satisfaction of the observation group was 97.75％,which was higher than that of the control group (83.15％),with statistically significant difference (P＜0.05).Conclusion Intensive pain nursing intervention in emergency traumatic orthopedic patients can effectively reduce the degree of pain,improve sleep quality and nursing satisfaction,which is worth promoting.