基于SWOT分析法的疼痛关爱管理模式对下肢骨折内固定术后患者的干预效果

摘要

Objective:To survey the intervention effects of management mode of pain care on the patients after the internal fixation of lower extremity fracture based on SWOT analysis. Methods: All 102 patients were divided into the observation group and the control group according to random number table method, 51 cases each group. The control group adopted management mode of conventional care, and the observation group management mode of pain care based on SWOT analysis. The incidence of complication, the functional recovery of knee joint, the changes of psychological state, VAS of both groups were compared and analyzed before and after the surgery. Results: The observation group was lower than the control group in two, eight, 12, 24 and 48 hours after the operation, and the difference had statistical meaning (P＜0.05) ; the observation group was lower than the control group in HAMA and HAMD in 48 hours after the surgery, and the difference showed statistical meaning (P＜0.05) ; the excellent rate of knee joint of the observation group was 94.12％, higher than 72.55％ of the control group, and the difference was statistically significant (P＜0.05) ; the incidence of the complication of the observation group was lower than that of the control group, and the difference showed statistical meaning (P＜0.05) . Conclusion: Management mode of pain care based on SWOT analysis could mitigate the pain of the patients after the internal fixation of lower extremity fracture, improve psychological state, decrease the incidence of the complication and promote functional recovery of knee joint.%目的:探讨基于SWOT分析法的疼痛关爱管理模式对下肢骨折内固定术后患者的护理效果.方法:将102例下肢骨折内固定术后患者, 按照随机数字表法分为观察组和对照组, 每组51例.对照组给予常规护理管理, 观察组采用基于SWOT分析法的疼痛关爱管理模式.对比分析2组手术前后疼痛视觉模拟 (VAS) 评分、心理状态变化、膝关节功能恢复情况及并发症发生率.结果:观察组术后2、8、12、24和48小时VAS评分均低于对照组, 差异有统计学意义 (P＜0.05) ;观察组术后48小时的汉密尔顿焦虑量表 (HAMA) 、汉密尔顿抑郁量表 (HAMD) 评分均低于对照组, 差异有统计学意义 (P＜0.05) ;观察组膝关节恢复优良率94.12％, 高于对照组72.55％, 差异有统计学意义 (P＜0.05) ;观察组并发症发生率低于对照组, 差异有统计学意义 (P＜0.05) .结论:将基于SWOT分析法的疼痛关爱管理模式应用于下肢骨折内固定术后患者可减轻患者疼痛感, 改善心理状态, 降低并发症发生率, 促进膝关节功能恢复.