[1]杨小丽,姜丽娟△,顾玉慧,等.基于SWOT分析法的疼痛关爱管理模式对下肢骨折内固定术后患者的干预效果[J].西部中医药,2018,31(12):137-140.
　YANG Xiaoli,JIANG Lijuan,GU Yuhui,et al.Intervention Effects of Management Mode of Pain Care on the Patients after the Internal Fixation of Lower Extremity Fracture Based on SWOT Analysis[J].Western Journal of Traditional Chinese Medicine,2018,31(12):137-140.
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基于SWOT分析法的疼痛关爱管理模式对下肢骨折内固定术后患者的干预效果
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年12期
页码:
137-140
栏目:
出版日期:
2018-12-15

文章信息/Info

Title:
Intervention Effects of Management Mode of Pain Care on the Patients after the Internal Fixation of Lower Extremity Fracture Based on SWOT Analysis
文章编号:
1004-6852(2018)12-0137-04
作者:
杨小丽，姜丽娟△，顾玉慧，严海霞，朱玉琴，王虹
南通大学附属医院急诊科，江苏 南通 226001
Author(s):
YANG Xiaoli, JIANG Lijuan△, GU Yuhui, YAN Haixia, ZHU Yuqin, WANG Hong
Emergency Department, Affiliated Hospital of Nantong University, Nantong 226001, China
关键词:
下肢骨折; SWOT分析法; 疼痛关爱管理模式; 内固定术
Keywords:
lower extremities fracture;  SWOT analysis;  management mode of pain care;  internal fixation
分类号:
R274.12
摘要:
目的：探讨基于SWOT分析法的疼痛关爱管理模式对下肢骨折内固定术后患者的护理效果。方法：将102例下肢骨折内固定术后患者，按照随机数字表法分为观察组和对照组，每组51例。对照组给予常规护理管理，观察组采用基于SWOT分析法的疼痛关爱管理模式。对比分析2组手术前后疼痛视觉模拟(VAS)评分、心理状态变化、膝关节功能恢复情况及并发症发生率。结果：观察组术后2、8、12、24和48小时VAS评分均低于对照组，差异有统计学意义(P＜0.05)；观察组术后48小时的汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分均低于对照组，差异有统计学意义(P＜0.05)；观察组膝关节恢复优良率94.12%，高于对照组72.55%，差异有统计学意义(P＜0.05)；观察组并发症发生率低于对照组，差异有统计学意义(P＜0.05)。结论：将基于SWOT分析法的疼痛关爱管理模式应用于下肢骨折内固定术后患者可减轻患者疼痛感，改善心理状态，降低并发症发生率，促进膝关节功能恢复。
Abstract:
Objective：To survey the intervention effects of management mode of pain care on the patients after the internal fixation of lower extremity fracture based on SWOT analysis. Methods: All 102 patients were divided into the observation group and the control group according to random number table method, 51 cases each group. The control group adopted management mode of conventional care, and the observation group management mode of pain care based on SWOT analysis. The incidence of complication, the functional recovery of knee joint, the changes of psychological state, VAS of both groups were compared and analyzed before and after the surgery. Results: The observation group was lower than the control group in two, eight, 12, 24 and 48 hours after the operation, and the difference had statistical meaning(P＜0.05); the observation group was lower than the control group in HAMA and HAMD in 48 hours after the surgery, and the difference showed statistical meaning(P＜0.05); the excellent rate of knee joint of the observation group was 94.12%, higher than 72.55% of the control group, and the difference was statistically significant(P＜0.05); the incidence of the complication of the observation group was lower than that of the control group, and the difference showed statistical meaning(P＜0.05). Conclusion: Management mode of pain care based on SWOT analysis could mitigate the pain of the patients after the internal fixation of lower extremity fracture, improve psychological state, decrease the incidence of the complication and promote functional recovery of knee joint.

相似文献/References:

[1]宋宗梅,郭雪梅.护理干预在预防老年下肢骨折术后深静脉血栓形成中的作用[J].西部中医药,2015,28(10):130.
[2]李文娟,白芮,薛建军,等.围手术期快速康复护理中运用甘草的SWOT分析[J].西部中医药,2018,31(03):120.
　LI Wenjuan,BAI Rui,XUE Jianjun,et al.SWOT Analysis of Using Licorice in Rapid Rehabilitation Nursing During Perioperative Period[J].Western Journal of Traditional Chinese Medicine,2018,31(12):120.
[3]康麟.五味消毒饮合当归芍药散对下肢骨折患者疼痛及血液流变学的影响[J].西部中医药,2021,34(01):91.[doi:10.12174/j.issn.2096-9600.2021.01.24]
　KANG Lin.Effects of Wuwei Xiaodu Drink and Danggui Shaoyao Powder on Pain and Hemorheology in Patients with Lower Limb Fracture[J].Western Journal of Traditional Chinese Medicine,2021,34(12):91.[doi:10.12174/j.issn.2096-9600.2021.01.24]

备注/Memo

备注/Memo:
收稿日期：2018-04-11 *基金项目：南通大学附属医院科研基金项目(编号Tfh 1721)。 作者简介：杨小丽(1976—)，女，主管护师。研究方向：急诊科护理。 △通讯作者：姜丽娟(1970—)，女，主任护师。研究方向：急救护理和护理管理。
更新日期/Last Update: 2018-12-15