Effects of systematic nursing on pain, dysfunction and recovery of patients with pelvic fracture treated by screw fixation / 中国实用护理杂志

ABSTRACT

Objective To analyze the degree of pain, dysfunction and recovery of patients with systemic fractures treated by screw fixation. Methods The clinical data of 96 patients with pelvic fractures who had been diagnosed and treated in the Hospital between January 2017 and January 2018 were analyzed. All cases were treated by screw fixation, and according to the random number table, these patients were divided into two groups the 48 patients given routine nursing were taken as the control group, whereas the other 48 given systematic nursing were included in the study group. The pain intensity, dysfunction and recovery of patients in the two groups were compared. Results The proportions of patients with severe pain and moderate pain were respectively 0 and 18.75% (9/48) in the study group, both lower than the control group, which were respectively 27.08% (13/48) and 41.67% (20/48) ( χ2=15.036 1, 5.978 4,P＜0.05), and the proportions of patients with mild pain and without pain were 52.08% (25/48) and 29.17% (14/48) in the study group, both higher than the control group, which were respectively 31.25% (15/48) and 0 (χ2=4.285 7, 16.390 2, P＜0.05). The total Oswestry Dability Index (ODI) score was (20.30±2.22) points, lower than that in the control group, which was (40.42±2.40) and the time for fracture healing, time for lying in bed and length of hospital stay in the study group were (57.20± 11.11) d and (4.30±1.20)d both shown to be shorter than the control group (69.70±13.60) d, (8.41±1.39) d (t=42.637 6, 4.931 5, 15.506 4,P<0.05). The incidence of complications in the study group was 4.17% (2/48), lower than 20.83% (10/48) in the control group ( χ2=6.095 2,P<0.05). Conclusion For patients with pelvic fractures treated by screw fixation, systematic nursing can relieve their pains, reduce dysfunction and boost their recovery, and yet incur fewer complications.