Emergency nursing intervention for emergency orthopedic trauma
急诊骨科创伤的急诊护理干预

摘要

目的：探究急诊骨科创伤中的急诊护理干预措施。方法：选取于2019年1月至12月在我院接受治疗的60例急诊骨科创伤患者作为本次实验的研究对象，使用数字随机法将其分配为两组，即参照组、研究组，并使用不同的急诊护理方式，其中参照组使用常规护理，研究组在常规护理方式的基础上增加急诊护理干预，在护理后对比两组患者的VAS疼痛评分及依从性评分。结果：研究组患者术后第一天VAS评分为（8.69±0.73）分，术后第五天（2.55±0.53）分，使用常规护理方式的参照组，术后第一天、第五天的VAS评分分别为（8.97±1.05）分、（4.52±1.33）分，手术第一天两组患者VAS评分无较大差异，不具备可比性，（P＞0.05），术后第五天研究组患者VAS疼痛评分明显低于参照组，具有可比性，（P＜0.05）。其次，研究组、参照组患者依从性评分分别为（9.69±0.37）分、（8.26±2.45）分，研究组依从性评分明显高于参照组，（P＜0.05）。结论：对骨科创伤患者实施急诊治疗时增加急诊护理干预可有效提升护理效果，对缓解患者术后疼痛感、提高治疗依从性有重要作用。

Abstract

Objective: To explore emergency nursing interventions in emergency orthopedic trauma.
Methods: 60 patients with emergency orthopedic trauma who were treated in our hospital from January to December 2019 were selected as the subjects of this experiment. They were assigned to two groups using the digital random method, that is, the reference group and the study group. Different emergency care methods were used, in which the reference group used conventional care, and the study group added emergency care interventions based on conventional care methods. After care, the two groups of patients were compared for VAS pain scores and compliance scores.
Results: The patients in the study group had a VAS score of (8.69 ± 0.73) on the first day after operation and a score of (2.55 ± 0.53) on the fifth day after operation. While the VAS scores of reference group were (8.97 ± 1.05) points and (4.52 ± 1.33) points.There was no significant difference in the VAS scores between the two groups of patients on the first day of surgery, which was not comparable (P> 0.05). Until the study group on the fifth day after surgery, the VAS pain score of the patients was significantly lower than that of the reference group and was comparable (P <0.05). Secondly, the compliance scores of the study group and the reference group were (9.69 ± 0.37) points and (8.26 ± 2.45) points, respectively. The compliance score of the study group was significantly higher than that of the reference group (P <0.05).
Conclusion  : Increasing emergency nursing intervention during orthopaedic trauma patients can effectively improve the nursing effect and play an important role in alleviating postoperative pain and improving treatment compliance.