Effects of different posture nursing on oxygen partial pressure, pain and comfort degree of affected limbs in patients with lower extremity atherosclerotic occlusive disease
10.3760/cma.j.cn115682-20191209-04490
- VernacularTitle:不同体位护理对下肢动脉硬化闭塞患者患肢氧分压、疼痛和舒适度的影响
- Author:
Liyang YU
1
;
Heng LIU
;
Yunxia SHI
;
Kai LIANG
Author Information
1. 河南省人民医院血管外科，郑州 450000
- Keywords:
Arteriosclerotic obliteration;
Lower extremity;
Postures nursing;
Oxygen partial pressure;
Comfort degree;
Pain score
- From:
Chinese Journal of Modern Nursing
2020;26(28):3899-3902
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore effects of four postures nursing on oxygen partial pressure, pain and comfort degree of affected limbs in patients with lower extremity atherosclerotic occlusive disease (LEAOD) .Methods:A total of 357 patients with LEAOD who were admitted in Henan Provincial People's Hospital of Henan University from March 2018 to February 2019 were selected as the research objects by convenient sampling. All patients were respectively treated with four postural nursing methods, including supine position, sitting position, lower limb ptosis position and lower limb elevation position. The differences in oxygen partial pressure, pain value and comfort level of patients in different posture nursing states were compared.Results:Among 357 patients, 106 patients had no pain. Compared with the other three positions, the oxygen partial pressure level of the lower limb elevated position was the lowest, and the pain score and comfort score were the highest. The differences among the groups were statistically significant ( P<0.01) . The oxygen partial pressure level of lower limb ptosis position was the highest, and the pain score and comfort score were significantly lower than the other three positions. The differences were all statistically significant ( P<0.01) . Among the four postures, the changes of oxygen partial pressure in sitting position and lower limb ptosis position were the most significant, and the differences were statistically significant ( Z=145.433, P<0.01) . Conclusions:In the nursing of supine position, sitting position, lower limb ptosis position and lower extremity elevation position, lower extremity ptosis position has a more obvious improvement effect on oxygen partial pressure, comfort degree and pain value of patients with LEAOD compared with the other three positions. However, long-term prolapse of the affected limbs can easily cause blood stasis and discomfort symptoms. Therefore, it is necessary to set a reasonable nursing method and time for the affected limbs according to the condition of patients.
