综合镇痛干预对女性股骨颈骨折患者术后疼痛及焦虑的影响
| 作者: |
1冯秋颜,
2肖鹏,
1孙镜茗
1 海南省中医院手术室，海口 570203 2 海南省中医院麻醉科，海口 570203 |
| 通讯: |
孙镜茗
Email: zyyshshsh@126.com |
| DOI: | 10.3978/j.issn.2095-6959.2019.08.020 |
| 基金: | 海南省卫生健康委员会课题(琼卫2011-28)。 |
摘要
目的：探讨综合镇痛干预对女性股骨颈骨折患者术后疼痛及焦虑的影响。方法：选取海南省中医院骨科2016年1至12月收治的60例女性股骨颈骨折手术患者为对照组，采用常规护理；2017年1至12月收治的60例女性股骨颈骨折手术患者为观察组，在常规护理的基础上采用综合镇痛干预。比较两组的术后疼痛情况、焦虑情绪，调查两组的镇痛护理满意度。结果：观察组术后24，48，72 h疼痛评分均低于对照组，差异有统计学意义(P<0.05)。观察组术后72 h的SAS评分低于对照组，焦虑发生率低于对照组，差异有统计学意义(P<0.05)。观察组在专业技术能力、教育关系、信任关系方面的满意度高于对照组，差异有统计学意义(P<0.05)。结论：综合镇痛干预能够显著减轻女性股骨颈骨折患者的术后疼痛，缓解焦虑情绪，提高镇痛满意度。
关键词：
综合镇痛干预；女性；股骨颈骨折；术后疼痛；焦虑
Effect of comprehensive analgesic intervention on pain and anxiety of femoral neck fracture patients after operation
CorrespondingAuthor: SUN Jingming Email: zyyshshsh@126.com
DOI: 10.3978/j.issn.2095-6959.2019.08.020
Foundation: This work was supported by the Project of Hainan Health Commission, China (qiong wei 2011-28).
Abstract
Objective: To investigate the effect of comprehensive analgesic intervention on pain and anxiety of femoral neck fracture patients after operation. Methods: Sixty cases of femoral neck fracture patients in our department from January to December 2016 were selected as the control group, given routine nursing; while 60 cases of femoral neck fracture patients in our department from January to December 2017 were selected as the observation group, given comprehensive analgesic intervention based on the routine nursing. The pain and anxiety after the operation were compared between the two groups, and the satisfaction degree of analgesic nursing between the two groups was investigated. Results: The pain scores of the observation group at 24 h, 48 h and 72 h after the operation were lower than those of the control group, and the difference was statistically significant (P<0.05). The SAS score of the observation group at 72 h after the operation was lower than that of the control group, and the incidence of anxiety was lower than that of the control group (P<0.05). The satisfaction of the observation group was higher than that of the control group in terms of professional and technical ability, educational relationship and trust relationship, and the difference was statistically significant (P<0.05). Conclusion: Comprehensive analgesic intervention can significantly alleviate the postoperative pain and anxiety of femoral neck fracture patients, and improve the satisfaction of analgesia.
Keywords：
comprehensive analgesic intervention; female; femoral neck fracture; postoperative pain; anxiety