基于SWOT分析法的疼痛关爱管理模式护理在粉碎性髌骨骨折术后患者中的应用效果  

Application effects of pain care management model nursing based on SWOT analysis method in patients with comminuted patella fracture after surgeries

作　　者：李难 LI Nan(Department of Orthopedics of the First Affiliated Hospital of Nanyang Medical College,Nanyang 473000 Henan,China)

机构地区：[1]南阳医专第一附属医院骨科,河南南阳473000

出　　处：《中国民康医学》2021年第20期203-205,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察基于SWOT分析法的疼痛关爱管理模式护理在粉碎性髌骨骨折术后患者中的应用效果。方法:选取94例粉碎性髌骨骨折患者作为研究对象,按入院时间先后顺序将其分为对照组45例与观察组49例。对照组采取常规护理,观察组在对照组基础上采取SWOT分析法的疼痛关爱管理模式护理。比较两组术前及术后疼痛评分、术前及术后3 d负性情绪评分、膝关节功能优良率和术后并发症发生率。结果:观察组术后2、8、12、24、48 h视觉模拟评分均低于对照组,差异有统计学意义(P<0.05);术后3 d,观察组焦虑自评量表与抑郁自评量表评分均低于对照组,差异有统计学意义(P<0.05);观察组膝关节功能优良率为93.88%,明显高于对照组的73.33%,差异有统计学意义(P<0.05);观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采取基于SWOT分析法的疼痛关爱管理模式护理可提高粉碎性髌骨骨折术后患者膝关节功能优良率,以及降低疼痛评分、负性情绪评分和术后并发症发生率,其效果优于单纯常规护理。Objective:To observe application effects of pain care management model nursing based on SWOT analysis method in patients with comminuted patella fracture after surgeries.Methods:94 patients with comminuted patella fractures were selected as the research objects,and were divided into control group(45 cases)and observation group(49 cases)according to the order of admission time.The control group was given the routine nursing,while the observation group used the pain care management model nursing based on SWOT analysis on the basis of that of the control group.The pain scores before and after the surgery,the negative emotion scores before and 3d after the surgery,the excellent and good knee function rate and the incidence of postoperative complications were compared between the two groups before and after the surgery.Results:The visual analog scores of the observation group were lower than those of the control group 2,8,12,24,and 48 hours after the surgery,and the differences were statistically significant(P<0.05).3 days after the surgery,the scores of the self-rating anxiety scale and the self-rating depression scale of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The excellent and good rate of knee joint function in the observation group was 93.88%,which was significantly higher than 73.33%in the control group,and the difference was statistically significant(P<0.05).Further,the incidence of postoperative complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the pain care management model nursing based on SWOT analysis method can increase the excellent and good rate of knee joint function in the patients with comminuted patella fractures after surgeries,and reduce the pain score,the negative emotion score and the incidence of postoperative complications.Moreover,it is superior to single routine nursing.

关 键 词：SWOT分析法 疼痛关爱管理模式 粉碎性髌骨骨折 负性情绪 疼痛 膝关节功能 

分 类 号：R473.6[医药卫生—护理学]