疼痛护理在四肢骨折患者术后疼痛控制及改善睡眠质量中的应用分析  

Application Analysis of Pain Nursing in Postoperative Pain Control and Improvement of Sleep Quality in Patients with Limb Fractures

作　　者：黄清清 康晓强 王慧灵 李晓茵[1] HUANG Qingqing;KANG Xiaoqiang;WANG Huiling;LI Xiaoyin(Department of Orthopedics,The 910th Hospital of the Joint Logistics Support Force of the People’s Liberation Army of China,Quanzhou,Fujian 362000,China;Department of Radiological Diagnosis,The 910th Hospital of the Joint Logistics Support Force of the People’s Liberation Army of China,Quanzhou,Fujian 362000,China)

机构地区：[1]中国人民解放军联勤保障部队第九一〇医院骨科,福建泉州362000 [2]中国人民解放军联勤保障部队第九一〇医院放射诊断科,福建泉州362000

出　　处：《中国医药指南》2025年第7期169-172,共4页Guide of China Medicine

摘　　要：目的 探讨四肢骨折患者术后的疼痛护理措施及护理效果。方法 选取中国人民解放军联勤保障部队第九一〇医院2020年6月至2022年10月收治的94例四肢骨折患者作为研究对象,应用随机数字表法,分为观察组(疼痛护理+常规护理)和对照组(常规护理)各47例,对比两组患者的术后恢复时间、四肢运动功能恢复情况、疼痛症状、睡眠质量、日常生活活动能力、康复效果、护理满意度、心理状态、对于康复护理的依从性以及并发症发生情况。结果 观察组的Fugl-Meyer运动功能评分量表评分、日常生活活动能力量表评分比对照组高,疼痛视觉模拟评分量表评分、匹兹堡睡眠质量指数量表评分、焦虑自评量表、抑郁自评量表评分比对照组低(均P <0.05)。观察组护理满意度、护理依从性、康复优良率高于对照组,并发症发生率低于对照组(均P <0.05)。结论 四肢骨折患者的治疗恢复期间,疼痛护理的有效开展,能够有效加强术后疼痛控制,减轻患者的身心痛苦,进而改善其睡眠质量。Objective To explore the postoperative pain nursing measures and nursing effects for patients with limb fractures.Methods A total of 94 patients with limb fracture admitted to the 910th Hospital of the Chinese People’s Liberation Army Joint Logistic Support Force from June 2020 to October 2022 were selected as the study objects,and were divided into the observation group(pain nursing+routine nursing)and the control group(routine nursing)with 47 cases each by random number table method.The postoperative recovery time,limbs motor function recovery,pain symptoms,sleep quality,activities of daily living,rehabilitation effect,nursing satisfaction,psychological state,compliance with rehabilitation nursing and complications were compared between the two groups.Results The observation group had higher Fugl-Meyer motor function rating scale scores and activities of daily living scores,and lower pain visual analogue scale scores,Pittsburgh sleep quality index scores,self-assessment of anxiety,and self-assessment of depression scores than the control group(all P<0.05).The observation group’s nursing satisfaction,nursing compliance,and rehabilitation excellence rate were higher than that of the control group,and the complication rate was lower than that of the control group(all P<0.05).Conclusions Effective pain management during the treatment and recovery period of patients with limb fractures can effectively strengthen postoperative pain control,alleviate their physical and mental pain,and improve their sleep quality.

关 键 词：四肢骨折 疼痛护理 睡眠质量 

分 类 号：R683.4[医药卫生—骨科学] R473.6[医药卫生—外科学]