目的:观察疼痛质量指标在胫骨骨折患者中的评估及对患者自我能力的影响.方法:取胫骨骨折患者60例,随机分为对照组(n=30)和观察组(n=30).对照组采用常规方法护理,观察组实施疼痛质量评估护理,比较2组护理效果及对患者自我能力的影响.结果:2组手术当天VAS评分差异无统计学意义;观察组术后1d、2d及术后3d VAS评分,低于对照组;治疗前2组自理能力评分无统计学差异;治疗后3个月观察组自理能力评分高于对照组;观察组膝关节功能评分、骨折复位质量评分,高于对照组;观察组术后负重时间、住院时间,短于对照组.结论:胫骨骨折患者治疗过程中给予疼痛质量指标护理和评估效果理想,能提高患者自我能力,值得推广应用.%Objective To observe the evaluation of pain quality index in patients with tibial fractures and its influence on patients' self-ability.Methods Sixty patients with tibial fractures were randomly divided into control group (n =30) and ob-servation group (n=30). The patients in the control group were treated with conventional methods and the patients in the ob-servation group were evaluated for pain quality, and the effects of the two groups on the patients's elf-efficacy were compared. Results There was no significant difference in VAS scores between the two groups. The VAS scores of the observation group were lower than those of the control group at1d,2d and 3d after operation. The score of self-care ability of the observation group was higher than that of the control group at 3 months after treatment. The knee function score and the fracture reduction score of the observation group were higher than those of the control group. The postoperative weight-bearing time and hospital stay of the observation group were shorter than those of the control group.Conclusion The treatment of patients with tibial fractures during the treatment of pain quality indicators of care and assessment of the effect is satisfactory, can improve the patient's self-worth, worthy of promotion and application.
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