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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 evaluate the assessment of pain quality in patients with tibia fracture and its effect on patients’ self-ability. Methods: Sixty patients with tibia fracture were randomly divided into control group (n = 30) and observation group (n = 30). The control group were treated by conventional methods, the pain relief evaluation was performed in the observation group, and the nursing effect and self-ability of the patients in the two groups were compared. Results: There was no significant difference in the VAS score between the two groups on the day of surgery. The VAS score of the observation group at 1, 2 and 3 days after operation was lower than that of the control group. There was no significant difference in the self-care ability score between the two groups before treatment and 3 months The self-care ability score of the observation group was higher than that of the control group. The knee joint function score and the fracture reduction quality score of the observation group were higher than those of the control group. The weight-bearing time and hospitalization time of the observation group were shorter than those of the control group. Conclusion: It is worth to popularize the application of the pain quality index nursing and evaluation in patients with tibial fracture.