缓解四肢骨折后肢体肿胀疼痛的针对性护理措施的效果。

IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Alternative therapies in health and medicine Pub Date : 2024-08-01
Xueping Wang, Hui Xu, Xuyi Wu
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引用次数: 0

摘要

研究目的本研究旨在评估针对性护理措施在缓解四肢骨折后肢体肿胀疼痛方面的效果。所谓 "针对性护理措施",是指针对四肢骨折患者肢体肿胀疼痛问题而设计的特定护理干预措施和护理策略:招募 2020 年 1 月至 2021 年 12 月期间在我院接受治疗的四肢骨折患者进行资格评估,最终纳入 100 例患者,在入院时交替分配接受常规护理,即对四肢骨折患者通常提供的标准护理干预(这些干预包括术前评估、生命体征监测、术后状态监测)、这些干预措施包括术前评估、生命体征监测、术后状态监测、局部冰敷、抬高患肢、功能锻炼、止痛措施、术后营养、用药和一般健康指导)(常规组)或针对性护理,即针对肢体肿痛的护理措施。(这些针对性护理措施包括有关肢体骨折的原因、注意事项、骨折后肢体肿胀疼痛的原因和治疗方法的健康教育、去充血护理、促进血管收缩和减轻疼痛和肿胀的冰敷、缓解消极情绪的心理辅导以及有针对性的康复训练指导)(针对性组),每组 50 例患者。结果测量指标包括肿胀、疼痛、情绪状态和护理满意度:与常规护理相比,针对性护理能更好地缓解肿胀(P < .05)。与接受常规护理的患者相比,接受针对性护理的患者的视觉模拟量表(VAS)评分、焦虑自评量表(SAS)评分和汉密尔顿抑郁量表(HAMD)评分明显降低,康纳-戴维森复原力量表(CD-RISC)评分明显提高(P < .05)。与常规护理相比,针对性护理的护理满意度明显更高(P < .05):结论:针对性护理可迅速缓解四肢骨折患者的肿胀和疼痛程度,改善其情绪状态,从而促进健康恢复,有效提高患者满意度。
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Effectiveness of Targeted Nursing Measures to Relieve Swollen Limb Pain after Extremity Fracture.

Objective: The objective of this study is to evaluate the effectiveness of targeted nursing measures in relieving swollen limb pain after extremity fractures. The term "targeted nursing measures" refers to specific nursing interventions and care strategies that are designed to address the issue of swollen limb pain in patients with extremity fractures.

Methods: Patients with extremity fractures treated in our hospital between January 2020 and December 2021 were recruited for eligibility assessment, and 100 patients were eventually included and assigned alternately at the time of admission to receive routine care, namely standard nursing interventions commonly provided to individuals with extremity fractures (These interventions included preoperative assessment, vital sign monitoring, postoperative status monitoring, local ice application, elevation of the affected limb, functional exercise, pain relief measures, postoperative nutrition, medication administration, and general health instruction) (routine group) or targeted care, namely care measures tailored to address swollen limb pain. (These targeted care measures included health education regarding the causes of limb fractures, precautions, causes of swollen limb pain after fractures, and treatment methods, decongestion care, ice compresses to promote vasoconstriction and reduce pain and swelling, psychological counseling to relieve negative emotions, and targeted rehabilitation training supervision) (targeted group), with 50 patients in each group. Outcome measures included swelling, pain, emotional state, and nursing satisfaction.

Results: Targeted care resulted in better mitigation of swelling versus routine care (P < .05). Patients with targeted care had significantly lower visual analog scale (VAS) scores, self-rating anxiety scale (SAS) scores, and Hamilton depression scale (HAMD) scores, and higher Connor-Davidson resilience scale (CD-RISC) scores versus those with routine care (P < .05). Targeted care was associated with significantly higher nursing satisfaction versus routine care (P < .05).

Conclusion: Targeted care rapidly relieves the degree of swelling and pain of patients with extremity fractures and ameliorates their emotional state, thereby promoting health recovery and effectively improving patient satisfaction.

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来源期刊
Alternative therapies in health and medicine
Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
219
期刊介绍: Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field. Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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