Altern Ther Health Med. 2022 Jul;28(5):38-43.
This study aims to explore the effect of the multidimensional nursing intervention for pain on the pain level in patients with lower extremity arteriosclerosis obliterans.
From January 2020 to April 2021, 132 patients with lower extremity arteriosclerosis obliterans in the First Affiliated Hospital of Xi'an Jiaotong University in China were enrolled in this prospective study. According to the random number table method, the patients were divided into the study group (n = 66; receiving multidimensional nursing intervention for pain) and the control group (n = 66; receiving routine nursing intervention). The pain level, sleep quality, and claudication distance were recorded before and after the intervention. The ankle brachial index before discharge and 1, 3 and 6 months after discharge was recorded. The getting out of bed time, length of hospital stay, satisfaction with pain control, and postoperative complications were also recorded.
The postoperative get out of bed time and hospital stay in patients in the study group were shorter than patients in the control group (P < .05). After the intervention, the pain level was lower and sleep quality higher in the study group than in the control group (P < .05), and the limp distance in the study group was longer (P < .05). Before discharge and at 1, 3 and 6 months after discharge, the ankle brachial index in the study group was higher than in the control group (P < .05). In addition, there were significant differences between the 2 groups (P < .05). Compared with the control group (10.606%), the incidence of postoperative complications in the study group (1.515%) was lower (P < .05).
The multidimensional nursing intervention for pain may effectively reduce pain levels, improve sleep quality, increase claudication distance and improve satisfaction with pain control, thus improving patient prognosis.
本研究旨在探讨多维护理干预对下肢动脉硬化闭塞症患者疼痛程度的影响。
2020 年 1 月至 2021 年 4 月，中国西安交通大学第一附属医院收治下肢动脉硬化闭塞症患者 132 例，前瞻性研究。采用随机数字表法将患者分为研究组（n=66；接受多维疼痛护理干预）和对照组（n=66；接受常规护理干预）。记录干预前后的疼痛程度、睡眠质量和跛行距离。记录出院前及出院后 1、3、6 个月的踝肱指数。记录下床时间、住院时间、疼痛控制满意度和术后并发症。
研究组患者术后下床时间和住院时间短于对照组（P<0.05）。干预后，研究组疼痛程度低于对照组，睡眠质量高于对照组，跛行距离长于对照组（P<0.05）。出院前及出院后 1、3、6 个月，研究组踝肱指数均高于对照组（P<0.05）。此外，两组间差异有统计学意义（P<0.05）。与对照组（10.606%）相比，研究组（1.515%）术后并发症发生率较低（P<0.05）。
多维疼痛护理干预可有效降低疼痛程度，改善睡眠质量，增加跛行距离，提高疼痛控制满意度，从而改善患者预后。
