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综合术后护理对创伤性骨折手术患者疼痛程度及生活质量的影响

The Impact of Comprehensive Postoperative Nursing Care on Pain Levels and Quality of Life in Patients Undergoing Traumatic Fracture Surgery.

作者信息

Ni Na, Lou YaPing

机构信息

Department of Vascular Surgery, Zhejiang Provincial People's Hospital.

Department of Orthopedics, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang, China.

出版信息

J Craniofac Surg. 2025;36(5):1645-1648. doi: 10.1097/SCS.0000000000010776. Epub 2025 Mar 13.

DOI:10.1097/SCS.0000000000010776
PMID:40079587
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12187146/
Abstract

AIMS

This study aims to evaluate the impact of comprehensive postoperative nursing care on pain levels and quality of life in patients undergoing traumatic fracture surgery.

METHODS

A total of 200 patients who underwent traumatic fracture surgery were enrolled in this study and divided into 2 groups: the observation group, which received comprehensive postoperative nursing care, and the control group, which received standard postoperative nursing care. Pain levels were measured using the Visual Analogue Scale (VAS) at 6, 12, 24, and 48 hours postoperatively. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) on postoperative days 1 and 2. Quality of life was evaluated using the SF-36 questionnaire at 1 and 3 months postoperatively. Changes in pain levels, sleep quality, and quality of life were compared between the 2 groups before and after nursing care.

RESULTS

The observation group exhibited significantly lower pain levels at all postoperative time intervals compared with the control group ( P <0.001). In addition, the observation group showed better sleep quality and higher quality of life scores at 1 and 3 months postoperatively ( P <0.001).

CONCLUSIONS

Comprehensive postoperative nursing care significantly reduces pain levels, improves sleep quality, and enhances the quality of life in patients with traumatic fractures.

摘要

目的

本研究旨在评估综合术后护理对创伤性骨折手术患者疼痛程度及生活质量的影响。

方法

本研究共纳入200例行创伤性骨折手术的患者，分为两组：观察组接受综合术后护理，对照组接受标准术后护理。术后6、12、24和48小时使用视觉模拟评分法（VAS）测量疼痛程度。术后第1天和第2天使用匹兹堡睡眠质量指数（PSQI）评估睡眠质量。术后1个月和3个月使用SF-36问卷评估生活质量。比较两组护理前后疼痛程度、睡眠质量和生活质量的变化。

结果

与对照组相比，观察组在所有术后时间点的疼痛程度均显著降低（P<0.001）。此外，观察组术后1个月和3个月的睡眠质量更好，生活质量得分更高（P<0.001）。

结论

综合术后护理可显著降低创伤性骨折患者的疼痛程度，改善睡眠质量，提高生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3692/12187146/7328fda67d9f/scs-36-1645-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3692/12187146/4a9e66495c59/scs-36-1645-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3692/12187146/d3c86ca7f843/scs-36-1645-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3692/12187146/7328fda67d9f/scs-36-1645-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3692/12187146/4a9e66495c59/scs-36-1645-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3692/12187146/d3c86ca7f843/scs-36-1645-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3692/12187146/7328fda67d9f/scs-36-1645-g003.jpg

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