Intervention effect of rapid rehabilitation surgical nursing on perioperative pain in patientswith calcaneal fracture
快速康复外科护理对跟骨骨折患者围术期疼痛的干预效果

摘要

目的 探讨分析在跟骨骨折围术期护理中实施快速康复外科护理的效果以及对疼痛的影响。方法 于骨科开展研究，共计选取64例跟骨骨折患者参与研究，已经对其基本资料进行详细调查，确认符合实验参与条件。为达成研究目的，将64例患者随机分配为2组，即对照组、观察组，在其围术期护理期间实施不同护理措施，对照组实施常规护理，观察组则实施快速康复外科护理，对比两组患者的疼痛情况、心理状态评分及手术指标。结果 采用视觉模拟评分法（VAS）评估两组患者的疼痛情况，结果显示在术后1d、2d、3d，观察组VAS评分均更低（P＜0.05）；使用焦虑评估量表（SAS）评估患者心理状态，术后3d观察组、对照组SAS评分分别为（24.1±2.5）分、（35.6±2.6）分，观察组SAS评分相对较低（P＜0.05）；同时，在手术指标方面，观察组各项均较优（P＜0.05）。结论 将快速康复外科护理用于跟骨骨折围术期护理中有助于减轻疼痛、改善不良情绪，同时可缩短手术时间、促进康复。

Abstract

Objective To investigate and analyze the effect of rapid rehabilitation surgical nursing on perioperative nursing of calcaneal fracture and its influence on pain.
Methods A total of 64 patients with calcaneal fracture were selected to participate in the study, and their basic data were investigated in detail to confirm that they met the experimental participation conditions. In order to achieve the purpose of the study, 64 patients were randomly assigned to 2 groups, namely the control group and the observation group, and different nursing measures were implemented during perioperative nursing, the control group was given routine nursing, and the observation group was given rapid rehabilitation surgical nursing. The pain, psychological status scores and surgical indicators of the two groups were compared.
Results Visual analogue scale (VAS) was used to evaluate the pain of the two groups, and the results showed that the VAS score of the observation group was lower at 1d, 2d and 3d after surgery (P < 0.05). The anxiety Assessment Scale (SAS) was used to evaluate the psychological state of the patients. The SAS scores of the 3d observation group and the control group were (24.1±2.5) and (35.6±2.6), respectively, and the SAS scores of the observation group were relatively low (P < 0.05). At the same time, in terms of surgical indexes, the observation group was better (P < 0.05).
Conclusion   The application of rapid rehabilitation surgical nursing in perioperative nursing of calcaneal fracture can reduce pain, improve bad mood, shorten operation time and promote recovery.