活动性疼痛评估护理对胸腰椎骨折术后患者疼痛、睡眠和生活质量的影响  

Impact of Active Pain Care Assessment on Postoperative Pain Management,Sleep Status and Quality of Life in Patients with Thoracolumbar Fracture

作　　者：朱青[1] 曲利媛 刘沛[1] 郑琰[1] 李伟岚[1] 张锴 ZHU Qing;QU LIyuan;LIU Pei;ZHENG Yan;LI Weilan;ZHANG Kai(Department of Radiology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Spinal and Spinal Cord,Henan Provincial People’s Hospital/Zhengzhou University People’s Hospital,Zhengzhou 450003,China)

机构地区：[1]郑州大学第一附属医院放射科,河南郑州450052 [2]河南省人民医院/郑州大学人民医院脊柱脊髓外科,河南郑州450003

出　　处：《河南医学研究》2023年第21期4003-4007,共5页Henan Medical Research

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20220036)。

摘　　要：目的分析活动性疼痛评估护理对胸腰椎骨折术后患者疼痛、睡眠及生活质量的影响。方法选择2018年5月至2021年10月郑州大学第一附属医院收治的120例胸腰椎骨折手术患者,符合纳入和排除标准的患者共106例,按随机数字表法分为对照组和试验组,各53例。对照组依据静息性疼痛数字评价量表(NRS)评分行常规护理,试验组依据NRS评分及功能活动评分法(FAS)采取针对性的护理措施,比较两组患者术后疼痛程度、睡眠状况、护理满意度及生活质量。结果术后24 h,与对照组比较,试验组患者静息性疼痛及活动性疼痛评分均降低,FAS评分B级人数增多,C级人数减少(P<0.05);术后48 h,与对照组比较,试验组患者入睡潜伏期缩短,实际睡眠时长延长,匹兹堡睡眠质量指数量表(PSQI)评分降低(P<0.05);出院时,试验组患者护理满意度高于对照组(P<0.05);术后1个月,试验组患者的生活质量评分高于对照组(P<0.05)。结论基于活动性疼痛评估的护理干预,可有效减轻胸腰椎骨折术后患者疼痛程度,改善睡眠状况及生活质量,提升护理满意度。Objective To analyze the effect of active pain nursing evaluation on postoperative pain,sleep and quality of life in patients with thoracolumbar fracture.Methods A total of 120 patients with thoracolumbar fracture treated in the First Affiliated Hospital of Zhengzhou University from May 2018 to October 2021 were selected,and 106 patients meeting the inclusion and exclusion criteria were divided into the experimental group and the control group according to random number table method,with 53 patients in each group.In control group,numerical rating scale(NRS)of resting pain was used as the basis of analgesic evaluation for routine nursing.In the experimental group,resting pain NRS score and functional activity score(FAS)were used as analgesic evaluation basis and intervention measures were taken.The degree of postoperative pain,sleep status,nursing satisfaction and prognostic quality of life were compared between the two groups.Results At 24 h after operation,compared with the control group,the scores of resting pain and active pain in the experimental group were decreased,the number of patients with FAS grade B was increased,and the number of patients with FAS grade C was decreased(P<0.05).At 48 h after surgery,compared with the control group,the sleep latency was significantly shortened,the actual sleep time was prolonged and Pittsburgh sleep quality index(PSQI)score of the experimental group was decreased(P<0.05).At discharge,nursing satisfaction of the experimental group was higher than that of the control group(P<0.05).One month after surgery,the quality of life score of the experimental group was higher than that of the control group(P<0.05).Conclusion Active pain assessment nursing can effectively relieve the pain degree of patients after thoracolumbar fracture,improve sleep status and quality of life,and enhance nursing satisfaction.

关 键 词：胸腰椎骨折 活动性疼痛 护理评估 疼痛 睡眠 生活质量 

分 类 号：R473.6[医药卫生—护理学]