预见性护理对改善急诊急救创伤性骨折患者不良情绪和提升抢救效果的价值  

Value of using predictive nursing in improving the adverse emotions and rescue effect of patients with traumatic fracture in emergency department

作　　者：刘娟 武桂芳[1] 唐志强 王彬郦 LIU Juan;WU Guifang;TANG Zhiqiang(Department of Emergency Medicine,the First People’s Hospital of Ziyang,Sichuan,Ziyang 641300,China)

机构地区：[1]四川省资阳市第一人民医院急诊医学科,641300

出　　处：《河北医药》2024年第11期1750-1753,共4页Hebei Medical Journal

摘　　要：目的分析急诊将预见性护理用于抢救创伤性骨折(traumatic fractue,TF)患者的效果。方法从2021年6月至2022年6月的TF患者中随机抽取68例,随机数字表法分为A组(34例,常规护理)和B组(34例,预见性护理),对比护理效果。结果护理前2组VAS评分无差异(P>0.05),护理后B组轻度疼痛率(88.24%)高于A组的50.00%、中度和重度疼痛率(11.76%、0)低于A组的32.35%、17.65%(P<0.05),护理后12 h、24 h VAS评分低于A组(P<0.05);骨痂形成率:<3周B组(73.53%)高于A组35.29%(P<0.05);4~5周、>5周B组(8.82%、2.94%)低于A组29.41%、17.65%(P<0.05);3~4周B组14.71%低于A组17.65%(P>0.05);B组平均形成骨痂时间短于A组(P<0.05);护理后B组护理满意度评分、HAMD评分、抢救指标优于A组(P<0.05)。结论急诊将预见性护理用于抢救TF患者能提高抢救成功率,改善患者术后疼痛情况、心理状态,促使患者短时间内形成骨痂,获得患者的高度认可。Objective To analyze the effect of predictive nursing foRtraumatic fracture(TF)patients in emergency department.Methods Totally 68 patients with TF treated in ouRhospital from June 2021 to June 2022 were randomly divided into group A(34 cases,routine nursing)and group B(34 cases,predictive nursing).The nursing effect between groups was compared.Results The visual analogue scale(VAS)scores of the two groups before nursing were comparable(P>0.05).AfteRnursing,the mild pain rate(88.24%vs 50.00%)in group B were significantly higheRthan that of group A,but the moderate pain rate(11.76%vs 32.35%)and severe pain rate(0 vs 17.65%)were significantly loweR(all P<0.05).VAS scores at 12 hours and 24 hours afteRnursing were significantly loweRin group B than those of group A(P<0.05).When at time<3 weeks,the rate of callus formation in group B was significantly higheRthan that of group A(73.53%vs 35.29%,P<0.05);when at time 4-5 weeks,oRtime>5 weeks,the rate of callus formation in group B was significantly loweRthan that of group A(4-5 weeks:8.82%vs 29.41%;>5 weeks:2.94%vs 17.65%,P<0.05);when At time 3-4 weeks,the rate of callus formation in group B was slightly loweRthan that of group A(14.71%vs 17.65%,P>0.05).The mean time to callus formation in group B was significantly shorteRthan that of group A(P<0.05).The nursing satisfactory degree,Hamilton Depression Rating Scale(HAMD),rescue indicators in group B were significantly betteRthan those of group A(P<0.05).Conclusion FoRpatients with TF,predictive nursing in emergency department can improve the success rate of rescue,improve postoperative pain and psychological state,and promote the callus formation during a short time,which is highly recognized by patients.

关 键 词：急诊 创伤性骨折 预见性护理 疼痛 骨痂形成率 

分 类 号：R473.5[医药卫生—护理学]