舒适护理在不稳定型骨盆骨折患者中的应用效果(1)
[摘要]目的 探讨舒适护理在不稳定型骨盆骨折患者中的应用效果。方法 采用便利抽样法选取2016年5月～2018年4月本院收治的58例不稳定型骨盆骨折患者作为研究对象，以随机数字表法将其分为A组(舒适护理)与B组(常规护理)，每组各29例。A组患者接受舒适护理，B组患者接受常规护理，比较两组的干预效果。结果 干预后，A组的正性情绪(PA)评分高于B组，负性情绪(NA)评分低于B组，差异有统计学意义(P<0.05);A组的并发症总发生率低于B组，差异有统计学意义(P<0.05);干预后，A组的生活质量综合评定问卷(GQOLI-74)各维度评分均高于B组，差异有统计学意义(P<0.05)。结论 在不稳定型骨盆骨折患者中实施舒适护理可调节其情绪状态，减少相关并发症，改善生活质量。
[关键词]不稳定型骨盆骨折;舒适护理;情绪状态;并发症;生活质量
[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721(2019)12(a)-0237-03
Application effect of comfort care in patients with unstable pelvic fractures
DONG li
The Second Department of Surgery， People′s Hospital of Yingtan City， Jiangxi Province， Yingtan 335000， China
[Abstract] Objective To explore the application effect of comfort care in patients with unstable pelvic fractures. Methods A total of 58 cases with unstable pelvic fractures in our hospital from May 2016 to April 2018 were selected as the study subjects by convenience sampling method. According to the random number table method， they were divided into group A (comfort care) and group B (routine care)， with 29 cases in each group. The patients in group A received comfort care， while the patients in group B recieved routine care. The intervention effects of the two groups were compared. Results After the intervention， the positive emotion (PA) score of group A was higher than that of group B， and the negative emotion (NA) score was lower than that of group B， the differences were statistically significant (P<0.05); the total incidence of complications in group A was lower than that in group B， the difference was statistically significant (P<0.05). After intervention， the generic quality life inventory-74(GQOLI-74) scores of all dimensions in group A were higher than those in group B， the differences were statistically significant (P<0.05). Conclusion In patients with unstable pelvic fractures， the implementation of comfort care can adjust the emotional state， reduce the related complications and improve the quality of life.
[Key words] Unstable pelvic fractures; Comfort care; Emotional state; Complications; Guality of life
不穩定型骨盆骨折为常见严重创伤类型，大多由高能量外力损伤所致，手术为常用治疗方法[1-2]。但多数患者对自身疾病、手术等知识认知水平较低，加上疾病本身可诱发剧烈疼痛感，影响舒适度，极易引发应激反应，影响手术顺利开展及术后恢复[3-5]。因此，需加强此类患者围术期护理干预。但笔者总结发现，常规护理存在随意性、经验性较大等弊端，且忽视心理、生理等方面的干预，患者满意度较低。基于此，本研究选取本院29例不稳定型骨盆骨折患者应用舒适护理，获得预期效果，现报道如下。
1资料与方法
1.1一般资料, 百拇医药(董莉)
[关键词]不稳定型骨盆骨折;舒适护理;情绪状态;并发症;生活质量
[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721(2019)12(a)-0237-03
Application effect of comfort care in patients with unstable pelvic fractures
DONG li
The Second Department of Surgery， People′s Hospital of Yingtan City， Jiangxi Province， Yingtan 335000， China
[Abstract] Objective To explore the application effect of comfort care in patients with unstable pelvic fractures. Methods A total of 58 cases with unstable pelvic fractures in our hospital from May 2016 to April 2018 were selected as the study subjects by convenience sampling method. According to the random number table method， they were divided into group A (comfort care) and group B (routine care)， with 29 cases in each group. The patients in group A received comfort care， while the patients in group B recieved routine care. The intervention effects of the two groups were compared. Results After the intervention， the positive emotion (PA) score of group A was higher than that of group B， and the negative emotion (NA) score was lower than that of group B， the differences were statistically significant (P<0.05); the total incidence of complications in group A was lower than that in group B， the difference was statistically significant (P<0.05). After intervention， the generic quality life inventory-74(GQOLI-74) scores of all dimensions in group A were higher than those in group B， the differences were statistically significant (P<0.05). Conclusion In patients with unstable pelvic fractures， the implementation of comfort care can adjust the emotional state， reduce the related complications and improve the quality of life.
[Key words] Unstable pelvic fractures; Comfort care; Emotional state; Complications; Guality of life
不穩定型骨盆骨折为常见严重创伤类型，大多由高能量外力损伤所致，手术为常用治疗方法[1-2]。但多数患者对自身疾病、手术等知识认知水平较低，加上疾病本身可诱发剧烈疼痛感，影响舒适度，极易引发应激反应，影响手术顺利开展及术后恢复[3-5]。因此，需加强此类患者围术期护理干预。但笔者总结发现，常规护理存在随意性、经验性较大等弊端，且忽视心理、生理等方面的干预，患者满意度较低。基于此，本研究选取本院29例不稳定型骨盆骨折患者应用舒适护理，获得预期效果，现报道如下。
1资料与方法
1.1一般资料, 百拇医药(董莉)