围术期规范化流程护理对儿童骨折术后疼痛及康复的影响  

Influence of perioperative standardized nursing on postoperative pain and rehabilitation of fracture children after surgery

作　　者：张荣丽 侯丽媛 闫承勇[2] 

机构地区：[1]河北医科大学第三医院创伤急救中心,河北石家庄050051 [2]河北医科大学第三医院护理部,河北石家庄050051

出　　处：《实用临床医药杂志》2018年第6期104-106,110,共4页Journal of Clinical Medicine in Practice

基　　金：河北省卫生和计划生育委员会科研基金项目(20150724)

摘　　要：目的探讨围术期规范化流程护理对儿童骨折术后疼痛及康复的影响。方法选取儿童骨折患者360例采用随机数字法分为平均分为2组,实验组依照本科室制定的规范化护理流程进行护理,对照组采用传统方法护理。比较2组患者并发症发生情况、生活质量、住院费用、住院时间,并对规范化护理流程进行综合评价。结果术后不同时间点观察组平均疼痛评分均低于对照组(P<0.05);观察组术后并发症(患肢肿痛、肺部并发症和药物不良反应)的发生率均低于对照组(P<0.05);观察组在疼痛缓解、满意度评分、生活质量评分、住院时间和住院费用上均优于对照组(P<0.05)。结论围术期规范化护理能够有效减轻骨折患儿术后疼痛,降低骨折后并发症发生率,提高术后生活质量,缩短住院时间,节约住院成本,值得在临床推广使用。Objective To investigate the influence of perioperative standardized nursing on the pain and rehabilitation of fracture children after surgery. Methods A total of 360 fracture chil- dren in our hospital were randomly divided into two groups according to the time of admission. The experimental group was given standardized nursing process, the control group used traditional care method. The incidence of complications, quality of life, hospitalization costs, hospital stay in two groups were compared, and standardized nursing process was comprehensively evaluated. Results The average pain scores of the observation group at different time points after operation was lower than that of the control group （ P 〈 0.05 ）. The incidences of postoperative complications （ limb swelling, pulmonary complications and adverse drug reactions） in the observation group were lower than that in the control （P 〈 0.05）. The observation group was better in pain relief, satisfaction score, quality of life score, hospitalization time and hospitalization cost than the control group （ P 〈 0.05 ）. Conclu- sion Perioperative standardized nursing can effectively relieve the postoperative pain in children with fracture, reduce the incidence of postoperative complications, improve postoperative quality of life, shorten the hospitalization time and save hospitalization cost, so it is worthy of clinical application.

关 键 词：规范化流程护理 儿童 骨折 术后疼痛 康复护理 护理满意度 

分 类 号：R473.72[医药卫生—护理学]