| 庄华敏,陈少婷,李萍.群体伤救治后疼痛护理方法改进的效果观察.骨科,2016,7(6): 456-458. |
| 群体伤救治后疼痛护理方法改进的效果观察 |
| Observation on the improvement of pain nursing method after mass injury treatment |
| 投稿时间：2016-03-20 |
| DOI：10.3969/j.issn.1674-8573.2016.06.016 |
| 中文关键词: 医院，骨科 群体伤 疼痛管理 治疗结果 |
| 英文关键词: Hospitals, osteopathic Mass trauma Pain management Treatment outcome |
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| 中文摘要: |
| 目的 探讨骨科群体伤救治后疼痛护理方法改进的效果。方法 选取我院2013年1月至2014年12月骨科收治的308例（33起）群体伤患者为研究对象，按入院先后对患者分别采用常规护理（常规组，156例）与疼痛改进护理（改进组，152例），应用数字疼痛量表（numeric pain rating scale, NPRS）、自我效能量表评价两组患者的干预效果。入组前，两组患者疼痛程度评分差异无统计学意义（t=1.022，P=0.102）。结果 改进组术后24 h及术后1~5 d经历的最严重NPRS疼痛评分低于常规组，差异均有统计学意义（均P＜0.05）。出院后1个月和3个月，改进组患者自我效能各项评分均显著优于常规组和出院前（均P＜0.05）。满意度方面，改进组（98.68%）患者优于常规组（77.56%），差异有统计学意义（χ2=4.732，P=0.021）。结论 疼痛改进式护理可以帮助患者减轻疼痛，提高患者的自我效能感和促进康复。 |
| 英文摘要: |
| Objective To explore the effect of nursing method after treatment of orthopedic group injury. Methods From January 2013 to December 2014, 308 patients with group trauma were treated with conventional nursing. The patients were divided into routine care group (n=156) and pain improved nursing group (n=52). NRPS and self-efficacy scale (SNI) were used to evaluate the intervention effect of two groups. There was no statistically significant difference in pain scores between the two groups (t=1.022, P=0.102). Results The most severe pain scores in the modified group were lower than those in the conventional group at 24 h and 1~5 d after operation, the difference was statistically significant (P＜0.05). At 1 and 3 months after discharge, self-efficacy scores in the improved group were significantly better than those in the conventional group and before discharge (all P＜0.05). Satisfaction, the improvement group (98.68%) patients higher than the conventional group (77.56%), the difference was statistically significant (χ2=4.732, P=0.021). Conclusion Pain improved nursing can help patients to relieve pain, improve patients’ self-efficacy and promote rehabilitation. |
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