Application of comprehensive nursing intervention in improving the postoperative pain degree of middle and older aged patients with proximal humerus fracture
10.7619/jcmp.201802027
- VernacularTitle:综合性护理干预对改善中老年肱骨近端骨折患者术后疼痛程度的应用研究
- Author:
Xiaodan YANG
1
;
Caihong LIANG
;
Yun DING
Author Information
1. 哈尔滨医科大学附属第一医院骨三科
- Keywords:
proximal humerus fractures;
comprehensive nursing intervention;
postoperative pain;
shoulder function
- From:
Journal of Clinical Medicine in Practice
2018;22(2):89-92
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of comprehensive nursing intervention on improving postoperative pain in middle-aged and elderly patients with proximal humerus fractures.Methods A total of 94 elderly patients underwent surgical treatment of proximal humerus fractures were divided into control group and experimental group according to the random number table method,with 47 cases per group.The control group was given routine fracture nursing intervention during perioperation,and the experimental group was given comprehensive nursing intervention on the basis of conventional nursing,all the patients were followed up for 6 months.The complications,the degree of pain and the recovery of shoulder function were observed and compared between the two groups.Results The total incidences of complication in postoperative bedsores,respiratory infections,fluctuations in blood pressure,inflamed fractures were lower than that in the control group (P ＜ 0.05);The VAS score of the experimental group was lower than that of the control group at 1 d,1 week and 1 month after nursing intervention (P ＜ 0.05).The Constant-Murley score of the experimental group was significantly higher than that of the control group at 3 months and 6 months after the intervention (P ＜ 0.05).Conclusion Comprehensive care intervention is effective for elderly patients with proximal humerus fractures in the perioperative period,and it can effectively reduce postoperative complications and degree of postoperative pain,promote patients'shoulder function recovery,so it is worthy of application and promotion.
