计划行为干预理论联合疼痛分级护理改善下肢创伤性骨折术后患者疼痛及睡眠质量的疗效观察  

Effect of Planned Behavior Intervention Theory Combined with Graded Pain Nursing on Pain and Sleep Quality of Patients after Traumatic Fracture of Lower Extremity

作　　者：林慧珍[1] LIN Huizhen(Department of Traumatology,the Second Hospital of Fuzhou,Fujian Province,Fuzhou 350007,China)

机构地区：[1]福建省福州市第二医院创伤骨科,福州350007

出　　处：《世界睡眠医学杂志》2024年第5期1134-1136,共3页World Journal of Sleep Medicine

基　　金：福建省创伤骨科急救与康复临床医学研究中心(2020Y2014)。

摘　　要：目的:探究计划行为干预理论联合疼痛分级护理改善下肢创伤性骨折术后患者疼痛及睡眠质量的疗效。方法:选取2023年5月1日至2023年11月1日福建省福州市第二医院创伤骨科收治的下肢创伤性骨折手术患者206例作为研究对象。以随机抽取编号分组方式分为对照组和观察组,每组103例。对照组实施常规护理,观察组在对照组基础上实施计划行为干预理论联合疼痛分级护理。比较2组患者疼痛[视觉模拟评分法(VAS)]、匹兹堡睡眠质量指数(PSQI)量表评分,术后第3天运动恐惧、下肢深静脉血栓形成(DVT)发生率以及住院时间。结果:术后第3天,观察组疼痛VAS及PSQI评分均低于对照组,术后第3天运动恐惧、DVT发生率低于对照组,住院时间短于对照组,差异均有统计学意义(均P<0.05)。结论:计划行为干预理论联合疼痛分级护理能有效减轻下肢创伤性骨折手术患者术后的疼痛程度,降低术后运动恐惧、DVT发生率,有效改善睡眠质量,能够促进患者术后康复。Objective:To explore the efficacy of planned behavior intervention theory combined with graded pain nursing in improving pain and sleep quality of patients after traumatic fracture of lower extremities.Methods:From May 1st,2023 to November 1st,2023,a total of 206 patients with traumatic fracture of lower extremity admitted to the Department of Traumatic Orthopedics in Fuzhou Second Hospital of Fujian Province were selected as the study objects.They were randomly selected and numbered into control group and treatment group,with 103 cases in each group.The control group received routine nursing,and the treatment group received planned behavior intervention theory combined with graded pain nursing based on the control group.Visual analogue scale(VAS),Pittsburgh Sleep Quality Index(PSQI),fear of exercise,incidence of deep venous thrombosis(DVT)and length of hospital stay were compared between the two groups.Results:On the 3rd day after surgery,VAS and PSQI scores in the treatment group were lower than those in the control group,the incidence of exercise fear and DVT on the 3rd day after surgery was lower than that in the control group,and the length of hospitalization was shorter,with statistical significance(P<0.05).Conclusion:Planned behavior intervention theory combined with graded pain nursing can effectively reduce the degree of postoperative pain in patients with lower extremity traumatic fracture surgery,reduce the incidence of postoperative exercise fear and DVT,effectively improve sleep quality,and promote postoperative rehabilitation of patients.

关 键 词：下肢创伤性骨折 计划行为干预理论 疼痛分级护理 睡眠 运动恐惧 

分 类 号：R683.42[医药卫生—骨科学] R473[医药卫生—外科学] R338.63[医药卫生—临床医学]