护理干预对学龄期儿童肱骨髁上骨折术后疼痛的影响

目的了解护理干预对学龄期患儿肱骨髁上骨折术后疼痛的影响。方法将68例肱骨髁上骨折学龄期患儿分成实验组和对照组各34例。实验组患儿分别于术前0～3h，术后12h内，12～24h，〉24～48h采取针对性护理干预，对照组给予常规护理。采用视觉类比量表（VAS）、儿童手术后疼痛行为量表（FLACC），对两组患儿疼痛程度进行评估比较。结果手术前和术后12h，两组患儿对疼痛的感受和评估，差异无统计学意义（P〉0．05）；术后12—24h实验组患儿VAS量表评分为（2．10±1．12）分，低于对照组（3．85±0．65）分，差异有统计学意义（Z=7．88，P〈0．01）；实验组患儿FLACC量表评分为（6．555±1．12）分，低于对照组（7．85±1．14）分，差异有统计学意义（Z=4．743，P〈0．01）；术后〉24—48h两组患儿VAS、FLACC量表评分比较差异均有统计学意义（P〈0．01）。结论对学龄期骨折手术患儿实施适当护理干预措施，在骨折手术12h后能够有效减少其疼痛感受程度，增加患儿的舒适度，有利于术后康复。

Effect of nursing intervention on the postoperative pain in school-aged children with humeral supracondylar fracture

Objective To evaluate the effects of non-pharmacological interventions on the postoperative pain in school-aged children with humeral supracondylar fracture.Methods 68 school-aged(6 - 12) children with humeral supracondylar fracture were randomly divided into the experimental group (n = 34) and control group(n = 34).Various non-pharmacological pain management measures were provided for the children in the experimental group.0-3 h before surgery,and at ＜ 12 h,12-24 h, ＞24 -48 h postoperatively.The intensity of postoperative pain was assessed by Visua AnalogueSeale (VAS) and FLACC Scale.Results There was no significant difference between the two groups at the 0 - 3 h pre-operation and first postoperative10 hours (P ＞0.05),At 12 -24 h, the scores of VAS between experimental group and control group were significantly difference (2.10 ± 1.12) vs (3.85 ± 0.65), Z = 7.88, P ＜ 0.01]; the scores of FLACC in two groups were significantly difference(6.55 ±1.12) vs (7.85 ±1.14) ,Z =4.743,P ＜0.01]; At ＞24 -48 h,the scores of VAS, FLACC were significantly difference between two groups (P ＜ 0.01).Conclusions Appropriate non-pharmacological nursing interventions can effectively reduce postoperative pain in school-aged children with humeral supracondylar fracture after 12 h postoperatively.