中医辨证施护结合无痛管理对锁骨骨折患者睡眠质量及心理状态的影响

目的 探讨中医辨证施护结合无痛管理对锁骨骨折患者睡眠质量的影响,分析对心理创伤后应激障碍的影响情况。 方法 选取于2018年3月—2019年3月期间84例来温州市中西医结合医院进行治疗的锁骨骨折患者为研究对象,采用Excel随机函数法分为对照组和观察组,分别实施常规护理干预及中医辨证施护结合无痛管理的护理干预,比较2组患者的睡眠质量及心理状况。 结果 对照组实施干预后PSQI评分明显低于干预前,组内比较差异均存在统计学意义(均P<0.05),观察组实施干预后PSQI评分明显低于干预前,组内比较差异均存在统计学意义(均P<0.05),观察组干预后总分(8.14±2.24)分]低于干预前(14.46±3.77)分],比较差异存在统计学意义(P<0.05);实施干预后,观察组患者的PSQI七个方面评分均低于对照组,观察组总分(8.14±2.24)分]低于对照组的(11.85±2.71)分(t=6.846,P<0.05);在心理状况方面,观察组患者的创伤后应激障碍5个方面评分均低于对照组(均P<0.05),观察组总分(36.40±6.77)分]明显低于对照组的(62.77±8.94)分(t=15.239,P<0.05)。 结论 将中医辨证施护结合无痛管理应用于锁骨骨折患者,可以提升其睡眠质量,降低患者的创伤后应激障碍,改善其心理状况,值得临床推广应用。 

Effect of TCM Syndrome Differentiation and Pain Management on Sleep Quality and Psychological Status of Patients with Clavicular Fracture

Objective To investigate the effect of TCM syndrome differentiation combined with painless management on sleep quality in patients with clavicular fracture, and to analyze the effect of post-traumatic stress disorder. Methods Eighty-four patients with clavicular fractures treated in our hospital from March 20 to March 2019 were enrolled in the study. The Excel random function method was used to divide into the control group and the observation group, and the routine nursing intervention and TCM syndrome differentiation were combined. Painless management of nursing intervention, comparing the sleep quality and psychological status of the two groups of patients. Results The PSQI scores of the control group after intervention were significantly lower than those before the intervention, and there were statistically significant differences(all P<0.05). The PSQI scores of the observation group after intervention were significantly lower than those before the intervention, and there were statistical differences between the groups(all P<0.05), the total score(8.13±2.24) after the intervention was lower than that before the intervention(14.46±3.77), and the difference was statistically significant(t=9.355,P<0.05).After the intervention, the PSQI scores of the observation group were lower than those of the control group in all seven aspects. The total score of the observation group(8.13± 2.24) was lower than the control group(11.85± 2.71, t=6.846, P<0.05). In terms of psychological status, the scores of post-traumatic stress disorder in the observation group were lower than those in the control group(all P<0.05), and the total score of the observation group(36.40±6.77) was significantly lower than that of the control group(62.77±8.94, t=15.239, P<0.05). Conclusion Applying TCM syndrome differentiation and painless management to patients with clavicle fracture can improve their sleep quality, reduce post-traumatic stress disorder and improve their psychological status. It is worthy of clinical application.