Altern Ther Health Med. 2024 Aug;30(8):65-71.
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.
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.
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).
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.
本研究旨在评估针对性护理措施缓解四肢骨折后肢体肿胀疼痛的效果。“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具体护理干预和护理策略。
选取我院 2020 年 1 月至 2021 年 12 月收治的四肢骨折患者进行资格评估，最终纳入 100 例患者，入院时采用交替法随机分为常规护理组（常规组）和针对性护理组（目标组），每组 50 例。常规组给予常规护理，包括术前评估、生命体征监测、术后病情监测、局部冰敷、抬高患肢、功能锻炼、止痛措施、术后营养、用药指导和一般健康指导等；目标组给予针对性护理，包括针对骨折肢体疼痛肿胀原因、注意事项、骨折后肢体疼痛肿胀原因及处理方法、消肿护理、冰敷促进血管收缩减轻疼痛肿胀、心理疏导缓解负性情绪、针对性康复训练指导等内容的健康教育。观察两组肿胀程度、疼痛程度、情绪状态和护理满意度。
与常规护理组相比，目标组的肿胀程度得到了更好的缓解（P <.05）。目标组的视觉模拟评分（VAS）、焦虑自评量表（SAS）和汉密尔顿抑郁量表（HAMD）评分均显著低于常规护理组，而康耐尔-戴维森韧性量表（CD-RISC）评分显著高于常规护理组（P <.05）。目标组的护理满意度显著高于常规护理组（P <.05）。
针对性护理能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，促进健康恢复，有效提高患者满意度。
