根因分析法的疼痛护理联合Roy适应模式对高血压创伤骨折患者的影响

摘要/Abstract

摘要： 目的探究高血压创伤骨折患者实施根因分析法的疼痛护理联合Roy适应模式的价值。方法纳入福建医科大学附属漳州市医院手术治疗共96例高血压创伤骨折患者（时间2023年9月至2024年9月）,采用数字随机表法划分2个组别。对照组（n=48）采取常规围术期护理,观察组（n=48）采取根因分析法的疼痛护理联合Roy适应模式。根据术后疼痛、心理状态、睡眠质量、血压水平评价两组干预效果。结果对比术后12 h、24 h、48 h、72 h的疼痛数字评分（NRS）评价结果,观察组各时段得分相比对照组均减少,差异有统计学意义（P<0.05）。对比干预后医院焦虑抑郁量表（HADS）、匹兹堡睡眠质量指数（PSQI）评价结果,观察组各问卷得分相比对照组均减少,差异有统计学意义（P<0.05）。对比干预后收缩压（SBP）、舒张压（DBP）监测结果,观察组各指标相比对照组均下降,差异有统计学意义（P<0.05）。结论高血压创伤骨折患者实施根因分析法的疼痛护理联合Roy适应模式,能明显减轻术后疼痛,改善睡眠质量及负性情绪,降低血压水平。

关键词: 高血压, 创伤骨折, 根因分析法, 疼痛护理, Roy适应模式

Abstract: Objective To investigate the value of pain nursing based on root cause analysis combined with Roy’s adaptation model in hypertensive patients with traumatic fracture. Methods A total of 96 hypertensive patients with traumatic fracture who underwent surgical treatment in our hospital from September 2023 to September 2024 were enrolled and divided into control group and observation group using a random number table, with 48 patients in each group. The patients in the control group received conventional perioperative nursing, and those in the observation group received pain nursing combined with Roy’s adaptation model based on root cause analysis. The two groups were assessed in terms of postoperative pain, psychological state, sleep quality, and blood pressure. Results Comparison of numerical rating scale (NRS) at 12, 24, 48, and 72 hours after surgery showed that the observation group had a significantly lower NRS score than the control group at each time point (P <0.05). Compared with the control group, the observation group had significant reductions in the scores of Hospital Anxiety and Depression Scale and Pittsburgh Sleep Quality Index after intervention (P <0.05). Monitoring results for systolic blood pressure (SBP) and diastolic blood pressure (DBP) showed that the observation group had significantly lower SBP and DBP than the control group after intervention (P <0.05). Conclusion For hypertensive patients with traumatic fracture, pain nursing combined with Roy’s adaptation model based on root cause analysis can significantly alleviate postoperative pain, improve sleep quality and negative emotion, and reduce blood pressure.

Key words: Hypertension, Traumatic fracture, Root cause analysis, Pain nursing, Roy’s adaptation model

曾丽璇, 洪春美, 郑翠珊. 根因分析法的疼痛护理联合Roy适应模式对高血压创伤骨折患者的影响[J]. 心血管病防治知识, 2025, 15(17): 93-96.

ZENG Lixuan, HONG Chunmei, ZHENG Cuishan. Effect of pain nursing combined with Roy’s adaptation model based on root cause analysis on hypertensive patients with traumatic fracture[J]. Prevention and Treatment of Cardiovascular Disease, 2025, 15(17): 93-96.

参考文献

[1] 彭瑜,刘娅泥,周良平,等.放松式心理护理结合循序渐进式康复护理改善高血压合并骨折患者功能康复效果的分析[J].心血管病防治知识,2023,13(11):54-56,60.
[2] 谢冰凝. 全程优质护理对多发性肋骨骨折合并高血压患者护理质量与满意度的影响分析[J].心血管病防治知识,2023,13(6):81-83.
[3] 段晶晶. 基于根因分析法的疼痛护理在创伤性骨折患者中的应用[J]. 山西卫生健康职业学院学报,2023,33(6):125-126.
[4] 王洁华,唐洋洋,陈彩凤. 基于Roy适应模式的中医护理方案对创伤骨折术后患者的影响[J]. 齐鲁护理杂志,2023,29(22):94-97.
[5] 中国高血压防治指南修订委员会,高血压联盟(中国),中国医疗保健国际交流促进会高血压分会,等. 中国高血压防治指南(2024年修订版)[J]. 中华高血压杂志,2024,32(7):603-700.
[6] 徐雯虹,王楠,崔煜. 基于循证理念的流程化护理模式在急诊创伤骨折患者疼痛干预中的应用[J]. 国际护理学杂志,2024,43(21):3913-3916.
[7] 李琳,张淼,赵晓晓. 卡普里尼评分的预警护理对下肢创伤性骨折患者术后深静脉血栓的影响[J]. 包头医学,2025,49(1):78-80.
[8] 段启云,赵忠芳. 人性化优质护理下的疼痛护理对下肢创伤骨折患者术后疼痛及凝血功能的影响[J]. 中西医结合护理,2024,10(6):66-68.
[9] 洪婷婷,庄鹭虹. 手术室护理结合疼痛干预对创伤骨折患者术后恢复及睡眠质量的影响[J]. 世界睡眠医学杂志,2024,11(6):1380-1382.
[10] 蔡丹,张永香,张红健,等. 电脑骨创伤治疗仪联合康复护理在创伤性骨折患者术后康复中的应用效果[J]. 中西医结合护理,2024,10(4):87-89.
[11] 王彬,张玉芹,傅学菲,等. Orem自我护理干预结合多模式疼痛管理对急性创伤骨折患者健康知识知晓情况及疼痛程度的影响[J]. 反射疗法与康复医学,2024,5(15):180-182,190.
[12] 王红杰,张伟峰. 全程无缝隙护理模式对创伤性骨折患者的救治成功率、护理满意度的影响分析[J]. 黑龙江医学,2024,48(13):1626-1629.
[13] 罗春权,袁艳霞,黄小敏. 疼痛控制护理对创伤性骨折患者术后康复质量的影响[J]. 反射疗法与康复医学,2023,4(16):147-150.
[14] 王华,郭利利,陈曦,等. 基于叙事护理理论的心理干预在突发创伤下肢骨折患者中的应用研究[J]. 广州医药,2024,55(12):1495-1499,1505.
[15] 张仁芬. 计划行为干预理论联合疼痛分级护理对下肢创伤性骨折患者术后恐动症的影响分析[J]. 实用中西医结合临床,2023,23(13):124-128.