基于疼痛控制的互动式舒适护理策略在创伤性骨折患儿中的应用  

Application of interactive comfort nursing strategy based on pain control in children with traumatic fractures

作　　者：冯亚青 李娟 李亦嘉 钟志娇 FENG Yaqing;LI Juan;LI Yijia;ZHONG Zhijiao(The Second Hospital,University of South China,Hengyang,Hunan,421001,China)

机构地区：[1]南华大学附属第二医院,湖南衡阳421001

出　　处：《中西医结合护理(中英文)》2025年第1期17-20,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨对创伤性骨折患儿实施互动式舒适护理联合疼痛控制的作用效果。方法选择2021年9月至2022年9月南华大学附属第二医院收治的96例创伤性骨折患儿,根据随机数字表法进行分组,对照组和观察组各48例。对照组给予骨科常规护理结合疼痛控制,在此基础上,观察组实施互动式舒适护理。比较2组的恢复相关指标、心理状态、疼痛程度、应激障碍及康复依从性。结果观察组的疼痛完全消失时间、局部肿胀消失时间及骨折愈合时间均早于对照组,住院时间短于对照组,康复依从率高于对照组(P均<0.05)。出院时和术后3个月,观察组的儿童焦虑量表(SCAS)、儿童抑郁量表(CDI)、视觉模拟评分法(VAS)及创伤后应激障碍自评量表(PTSD-SS)评分均较同一时间对照组更低(P均<0.05),且2组均较同组术后第1天更低(P均<0.05)。结论互动式舒适护理结合疼痛控制对创伤性骨折患儿的干预效果显著,不仅可以改善心理状态、疼痛程度和应激障碍,还能提升康复依从性,促进术后恢复。Objective To explore the effect of interactive comfort nursing combined with pain control on children with traumatic fractures.Methods A total of 96 children with traumatic fractures admitted to the Second Hospital,University of South China from September 2021 to September 2022 were selected and randomly divided into two groups using a random number table method,with 48 cases in the control group and 48 cases in the observation group.The control group received routine orthopedic nursing combined with pain control,and on this basis,the observation group received interactive comfort nursing.The recovery related indicators,psychological status,pain degree,stress disorder,and rehabilitation compliance of the two groups were compared.Results The observation group had earlier complete pain disappearance time,local swelling disappearance time,and fracture healing time than the control group,shorter hospitalization time,and higher rehabilitation compliance rate than the control group(all P<0.05).At discharge and 3 months after surgery,the observation group had lower scores on the Spence Childrens Anxiety Scale(SCAS),Childrens Depression Inventory(CDI),Visual Analogue Scale(VAS),and Post-Traumatic Stress Disorder Self-Rating Scale(PTSD-SS)compared to the control group at the same time(all P<0.05),and both groups had lower scores on the first day after surgery compared to the same group(all P<0.05).Conclusion The intervention effect of interactive comfort nursing combined with pain control on children with traumatic fractures is significant.It can not only improve their psychological status,pain degree,and stress disorder,but also enhance rehabilitation compliance and promote postoperative recovery.

关 键 词：创伤性骨折 儿童 互动式舒适护理 疼痛控制 应激障碍 

分 类 号：R473.72[医药卫生—护理学]