疼痛护理联合心理护理对小儿先天性髋关节脱位术后下肢运动功能锻炼的影响

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摘要目的探讨疼痛护理联合心理护理对小儿先天性髋关节脱位（CDH）术后下肢运动功能锻炼的影响。方法选取2022年1月至2023年1月赣州市妇幼保健院收治的40例CDH手术治疗患儿作为研究对象，按照随机数字表法分为对照组（20例）和观察组（20例）。对照组给予常规护理干预，观察组在对照组基础上给予疼痛护理联合心理护理干预，比较两组患儿的疼痛情况、下肢运动功能、睡眠质量。结果术后第2天，两组东安大略儿童医院疼痛量表（CHEOPS）评分、匹兹堡睡眠质量指数（PSQI）比较，差异无统计学意义（P＞0.05）；两组术后第8、15天的CHEOPS评分、PSQI低于术后第2天，两组术后第15天的CHEOPS评分、PSQI低于术后第8天，差异有统计学意义（P＜0.05）；观察组术后第8、15天的CHEOPS评分、PSQI低于对照组，差异有统计学意义（P＜0.05）。术后第2天，两组的Fugel-Meyer功能评定量表（FMA）评分比较，差异无统计学意义（P＞0.05）；两组术后第8、15天的FMA评分高于术后第2天，两组术后第15天的FMA评分高于术后第8天，差异有统计学意义（P＜0.05）；观察组术后第8、15天的FMA评分高于对照组，差异有统计学意义（P＜0.05）。结论疼痛护理联合心理护理可以有效改善CDH手术治疗患儿的下肢运动功能，减轻疼痛，提高睡眠质量。

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	曾凡颖黄华钟海莉曾杰康露花

关键词 ：疼痛护理, 小儿先天性髋关节脱位, 下肢运动功能, 心理护理

Abstract：Objective To investigate the effect of pain nursing on congenital dislocation of hip (CDH). Methods A total of 40 children treated with CDH surgery in Ganzhou Maternal and Child Health Hospital from January 2022 to January 2023 were selected as the study objects, and were divided into control group (20 cases) and observation group (20 cases) according to random number table method. The control group was given routine nursing intervention, and the observation group was given pain nursing combined with psychological nursing intervention on the basis of the control group. The pain, lower limb motor function and sleep quality of the children in the two groups were compared. Results On the second day after surgery, there were no statistical significant differences in the children's hospital of Eastern Ontario pain scale (CHEOPS) score and Pittsburgh sleep quality index (PSQI) (P＞0.05). The CHEOPS scores and PSQI of the two groups on the 8th and 15th day after surgery were lower than those on the 2nd day after surgery, and the CHEOPS scores and PSQI of the two groups on the 15th day after surgery were lower than those on the 8th day after surgery, with statistical significance (P＜0.05). The CHEOPS scores and PSQI of the observation group on the 8th and 15th day after surgery were lower than those of the control group, and the differences were statistically significant (P＜0.05). On the second day after surgery, there was no significant difference in the scores of the Fugl-Meyer motor function assessment (FMA) between the two groups (P＞0.05). The FMA scores on the 8th and 15th day after surgery were higher than those on the 2nd day after surgery, and the FMA scores on the 15th day after surgery were higher than those on the 8th day after surgery, with statistical significance (P＜0.05). The FMA scores of the observation group were higher than those of the control group at the 8th and 15th day after surgery, and the differences were statistically significant (P＜0.05). Conclusion Pain nursing combined with psychological nursing can effectively improve the lower limb motor function of children with CDH surgery, reduce pain and improve sleep quality.

Key words： Pain nursing Pediatric congenital dislocation of hip Lower limb motor function Psychological nursing

基金资助:[基金项目]江西省卫生健康委科技计划项目（202312052）。

引用本文:

曾凡颖黄华钟海莉曾杰康露花. 疼痛护理联合心理护理对小儿先天性髋关节脱位术后下肢运动功能锻炼的影响[J]. 中国当代医药, 2024, 31(1): 167-170.
ZENG Fanying HUANG Hua ZHONG Haili ZENG Jie KANG Luhua. Effect of pain care combined psychological nursing on lower limb motor exercise after congenital dislocation of hip. 中国当代医药, 2024, 31(1): 167-170.

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https://www.dangdaiyiyao.com/CN/ 或 https://www.dangdaiyiyao.com/CN/Y2024/V31/I1/167

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