Effect of integrated nursing intervention on coagulation index and perioperative pain in patients with pelvic fractures
综合护理干预对骨盆骨折患者凝血指标及围术期疼痛的影响

摘要

目的 考察分析综合护理干预对骨盆骨折患者凝血指标及围术期疼痛的影响。方法 设计一项随机对照单盲临床试验，启动期限为2022年10月至2023年10月，样本纳入自本时段院内收治的骨盆骨折患者中，纳入人数90例，按照1∶1比例进行随机分组，每组归入（n=45）。提供常规护理服务的小组命名为参照组；提供综合护理服务的小组命名为研究组，最终评价不同干预策略下的疗效作用。比对两组患者VAS评分、凝血指标水平、护理满意度差异。结果 研究组各项指标均显优参照组，P＜0.05。结论 在骨盆骨折患者临床护理方案的横向选择中，建议优先采用综合护理干预策略，一方面能有效降低VAS评分，改善患者凝血功能，另一方面可极大促进护患关系和谐，提高护理满意度，值得推广。

Abstract

Objective To investigate and analyze the effect of comprehensive nursing intervention on coagulation index and perioperative pain in patients with pelvic fracture.
Methods A randomized controlled single-blind clinical trial was designed from October 2022 to October 2023. Among the pelvic fracture patients admitted in the current period, 90 patients were randomized according to 1∶1 ratio, and each group was included (n=45). The group providing routine care services was named the reference group; the group providing comprehensive care services was named the study group to finally evaluate the efficacy effect under different intervention strategies. Compare the differences in VAS score, coagulation index level, and nursing satisfaction between the two groups.
Results All the indicators in the study group, P ＜0.05.
Conclusion   In the horizontal selection of clinical nursing plan for patients with pelvic fracture, it is suggested to adopt comprehensive nursing intervention strategy first. On the one hand, it can effectively reduce VAS score and improve the coagulation function of patients; on the other hand, it can greatly promote the harmonious relationship between nurses and patients and improve nursing satisfaction, which is worth promoting.