Nursing effect of modified cold therapy instrument on postoperative swelling and pain in patients with tibiofibular fracture
10.3760/cma.j.issn.1672-7088.2019.15.006
- VernacularTitle: 改良型冷疗仪对胫腓骨骨折患者术后肿痛的护理效果
- Author:
Jianfang YE
1
;
Meihua ZHUANG
;
Guilian FENG
;
Yun LIU
;
Wenhong CHEN
Author Information
1. Department of Orthopedics, the Fourth People Hospital of Changzhou City (Tumor Hospital), Jiangsu Province, Changzhou 213000, China
- Publication Type:Clinical Trail
- Keywords:
Tibial fracture;
Cold therapy instrument;
Pain;
Swelling;
Nursing care
- From:
Chinese Journal of Practical Nursing
2019;35(15):1147-1150
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of modified cold therapy instrument on postoperative pain and swelling of patients with tibiofibular fracture.
Methods:Eighty patients with tibia and fibula fracture who underwent surgery in Changzhou Cancer Hospital from June 2016 to June 2017 were selected and divided into control group and experimental group according to random number table method, 40 cases in each group. Patients in the control group were treated with conventional ice care, and the experimental group was treated with a modified cold therapy device. The Numerical Rating Scale (NRS) scores, tension blisters and skin dermatoglyphics, swelling and complications were observed before and after treatment.
Results:Before the intervention, the difference in pain score and swelling degree between the two groups was not statistically significant (P>0.05). After nursing intervention, the pain scores of the two groups decreased, but the score of the experimental group was 2.2 ± 0.3, which was significantly lower than that of the control group (3.6 ± 0.5) (t= 15.185, P < 0.05); the incidence of tension blisters, the incidence of dermatoglyph and moderate swelling in the experimental group were 10% (4/40), 77.5% (31/40), 10% (4/40), which were lower than 30% (12/40), higher than 50% (20/20), less than 27.5% (11/40) of the control group (χ2= 5.000, 6.545, 4.021, P<0.05); no complications such as deep vein thrombosis and compartment syndrome were found in both groups.
Conclusion:The improved cold therapy device cold compress is better than the conventional ice dressing treatment, and can reduce the swelling and pain degree of the patients with tibiofibular fracture, which is beneficial to the rehabilitation of the patient and is worthy of clinical application.
