Clean Operating Room, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, Fujian, China.
No.19 Inpatient Area, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, Fujian, China.
Pain Manag Nurs. 2021 Dec;22(6):764-768. doi: 10.1016/j.pmn.2021.01.011. Epub 2021 Mar 3.
Epidural (EPI) catheter analgesia is frequently prescribed as a regional analgesic technique to patients with multiple rib fractures (MRF) following surgical stabilization of rib fractures (SSRF).
We aimed to study the effect of add-on self-care therapy on recovery and quality of life (QoL) in patients on EPI analgesia after surgical stabilization of rib fractures (SSRF).
DESIGN/SETTINGS/PARTICIPANTS/SUBJECTS: A total of 267 eligible patients with MRF who received EPI catheter analgesia after SSRF were recruited, and assigned to one of two groups in a random fashion: intervention group received education on self-care therapy, while the control group did not.
Pain scores, incentive spirometry (IS) volumes, oxygen saturation (SpO2), respiratory rate, hospital length of stay (LoS) and QoL were evaluated.
Compared with control group, the intervention group showed significantly improved pain scores, IS volume, respiratory rate, and SpO2. Hospital LoS was shorter for the intervention group than the control group. Overall QoL scores in the intervention group were also significantly better than control patients.
Education on self-care therapy significantly benefited pain management, recovery, and QoL for patients with MRF who received EPI catheter analgesia after SSRF operation.
硬膜外（EPI）导管镇痛常被规定为一种区域镇痛技术，用于接受肋骨骨折手术固定（SSRF）后的多发肋骨骨折（MRF）患者。
我们旨在研究附加自我护理疗法对接受肋骨骨折手术后硬膜外镇痛（SSRF）的患者的恢复和生活质量（QoL）的影响。
设计/设置/参与者/受试者：共招募了 267 名符合条件的 MRF 患者，他们在 SSRF 后接受 EPI 导管镇痛，并以随机方式分配到两组之一：干预组接受自我护理疗法教育，而对照组则没有。
评估疼痛评分、激励式肺活量计（IS）量、血氧饱和度（SpO2）、呼吸频率、住院时间（LoS）和 QoL。
与对照组相比，干预组的疼痛评分、IS 量、呼吸频率和 SpO2 明显改善。干预组的住院时间比对照组短。干预组的总体 QoL 评分也明显优于对照组患者。
对于接受肋骨骨折手术后硬膜外镇痛的 MRF 患者，自我护理疗法教育显著有益于疼痛管理、恢复和 QoL。
