改良式无痛感翻身方案对股骨粗隆间骨折患者压力性损伤与自尊感的影响  

Effects of modified painless turning over scheme on the stress injury and self-esteem in patients with femoral intertrochanteric fracture

作　　者：袁燕 张文玺[1] 沙叶 YUANYan;ZHANG Wenxi;SHA Ye(Department of Osteology,Liyang People’sHospital,Jiangsu,Liyang 213399,China)

机构地区：[1]江苏省溧阳市人民医院骨二科,213399

出　　处：《河北医药》2022年第17期2618-2621,共4页Hebei Medical Journal

基　　金：常州市卫生健康委员会重大科技项目(编号:ZD201927)。

摘　　要：目的探讨改良式无痛感翻身方案对股骨粗隆间骨折患者压力性损伤与自尊感的影响。方法选取2019年3月至2021年3月就诊的85例股骨粗隆下骨折老年患者,随机数字表法分为观察组(42例)和对照组(43例)。对照组采用常规护理翻身方案,观察组采用改良式无痛翻身护理方案,观察并比较2组患者一般资料[性别、年龄、体重指数(body mass index,BMI)、手术时间、术中出血量、切口长度、高血压、糖尿病等情况],翻身前后疼痛评分、压力性损伤风险评分、自尊感评分(self esteem score,SES)及患者满意度。结果2组患者翻身前视觉模拟疼痛评分(visual analogue pain score,VAS)评分差异无统计学意义(P>0.05);翻身时、翻身完成即刻2组患者VAS评分较翻身前显著升高(P<0.05),翻身时、翻身完成即刻观察组患者VAS评分显著低于对照组(P<0.05)。2组患者干预前后Braden评分差异有统计学意义(P<0.05);干预前2组患者Braden评分比较无明显差异(P>0.05),干预后3 d、干预后7 d观察组Braden评分较干预前显著增加(P<0.05),且观察组Braden评分显著高于对照组,差异有统计学意义(P<0.05)。2组患者干预前后SES评分比较差异显著(P<0.05);干预前2组患者SES评分比较无明显差异(P>0.05);干预后3 d、干预后7 d 2组SES评分较干预前显著增加(P<0.05),且观察组SES评分显著高于对照组,差异有统计学意义(P<0.05)。观察组满意度[95.24%(40/42)]显著高于对照组[81.40%(35/43)](P<0.05)。结论改良式无痛感翻身护理方案能有效降低股骨粗隆间骨折患者压力性损伤风险,提高患者自尊感及对护理工作的满意度。Objective To investigate the effects of modified painless turning over scheme on the stress injury and self-esteem in patients with femoral intertrochanteric fracture.Methods A total of 85 elderly patients with femoral intertrochanteric fracture who were treated in our hospital from March 2019 to March 2021 were enrolled in the study,who were randomly divided into observation group(n=42)and control group(n=43).The patientsin control group were treated by routine nursing,however,those in observation group were treated by improved painless nursing.The general information(gender,age,BMI,operation time,intraoperative blood loss,incision length,hypertension,diabetes),pain score,pressure ulcer risk score,self-esteem score(SES score)and the satisfaction degree of patients were observed and compared between the two groups.Results Before intervention,there were no significant differences in VAS scores between the two groups(P>0.05),and the VAS scores at turning over and immediately after turning over in both groups were significantly increased(P<0.05),moreover,which in observation group were significantly lower than those in control group(P<0.05).Before intervention,there were no significant differences in Braden scores between the two groups(P>0.05),however,the Braden scores at 3d,7d after intervention in observation group were increased significantly,moreover,which in observation group were significantly higher than those in control group(P<0.05).Before intervention,there were no significant differences in SES scores between the two groups(P>0.05),however,which at 3d,7d after intervention in both group were increased significantly,moreover,which in observation group were significantly higher than those in control group(P<0.05).In addition the satisfaction degree of patients in observation group was significantly higher than that in control group(P<0.05).Conclusion The improved painless turn over nursing scheme can effectively reduce the risk of stress injury in patients with intertrochanteric fracture,and improve the se

关 键 词：股骨粗隆间骨折 无痛感翻身 压力性损伤 自尊感 

分 类 号：R683.421[医药卫生—骨科学]