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Application of modified bone traction device in patients with lower limb bone traction |
ZHAO Linzhi XUE Yiwei LI Xia NI Xiaoyun SONG Wenwen HU Ping▲ |
Department of Orthopedics, the Sixth People’s Hospital Affiliated to the Medical College of Shanghai Jiao Tong University, Shanghai 200233, China
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Abstract Objective To explore the effect of modified bone traction device on patients with lower limb fractures. Methods A total of 120 patients who underwent bone traction of lower limb in the Sixth People’s Hospital Affiliated to the Medical College of Shanghai Jiao Tong University from March to December 2021 were selected and divided into improved group and control group by random number table method, with 60 cases in each group. The control group used traditional bone traction device for bone traction, and the improved group used modified bone traction device for bone traction. Numeric rating scale (NRS) was used to evaluate the pain level before traction, loading, and unloading of traction arch, and general comfort questionnaire (GCQ) was used to evaluate the comfort of the two groups before and after traction. The operation time of bone traction device, the amount of bleeding, the incidence of pressure injury, and the satisfaction of hospitalized patients were compared between the two groups. Results The NRS scores of the two groups during loading and unloading of the traction arch were higher than those before traction, and the NRS scores of improved group were lower than those of the control group during loading and unloading of the traction arch, and the differences were statistically significant (P<0.05). After traction, the GCQ scores of the two groups were lower than those before traction, and the GCQ scores of the improved group were higher than those of the control group, and the differences were statistically significant (P<0.05). The operation time of the bone traction device in the improved group was shorter than that in the control group, the amount of bleeding was lower than that in the control group, and the satisfaction of hospitalized patients was better than that in the control group, and the differences were statistically significant (P<0.05). There was no significant difference in the incidence of pressure injury between the two groups (P>0.05). Conclusion The application of modified bone traction device in patients with lower limb bone traction can reduce pain, save operation time, and improve comfort and satisfaction.
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[1] 翁羽翚,孙雅妮,周玲.改良式骨牵引托布在下肢骨折牵引治疗病人中的应用[J].护理研究,2017,31(24):3034- 3036.
[2] 毛春华,苏雪葵,韦玉环,等.新型带帽橡皮筋克氏针稳定装置在老年患者下肢骨牵引中应用的效果观察[J].护士进修杂志,2020,35(17):1626-1627.
[3] 宋家彬,刘文红,赵丽.三联疗法配合骨牵引保守治疗老年股骨粗隆间骨折[J].山西医药杂志,2020,49(6):677- 678.
[4] 严广斌.NRS疼痛数字评价量表numerical rating scale[J].中华关节外科杂志(电子版),2014,8(3):410.
[5] 朱丽霞,高凤莉,罗虹辉,等.舒适状况量表的信效度测试研究[J].中国实用护理杂志,2006,22(13):57-59.
[6] 杨光,卢敏,胡权,等.一种创伤性长骨骨折骨牵引定位装置[J].创伤外科杂志,2018,20(10):795-796.
[7] 黄森,宋智,张拓红,等.中国医院住院患者体验和满意监测量表的信效度评价[J].中国医院管理,2012,32(6):14-17.
[8] 杨文杰,苏云,温准,等.骨牵引瞄准器的研制与临床应用[J].实用骨科杂志,2020,26(11):1042-1044.
[9] 催佰红,顾海燕,徐冠华,等.新型控制性轴向牵引自控器在胫腓骨骨折跟骨牵引病人中的应用[J].护理研究,2019,33(20):3600-3602.
[10] 章赛军,吴立群,胡雪芹.自制可调节牵引支架在多发伤合并骨折患者中的应用[J].中华急诊医学杂志,2017, 26(8):965-967.
[11] 周芳.自制布朗式牵引架可调式衬垫在下肢骨牵引中的应用[J].护理学报,2018,25(3):77-78.
[12] 刘冬娇,徐习,刘娟,等.骨牵引针孔护理的现状与展望[J].解放军护理杂志,2016,33(16):37-39.
[13] 贾飞飞,冯乐玲,姚陆丰,等.下肢骨牵引患者治疗体验及护理需求的质性研究[J].护理与康复,2019,18(8):13-16.
[14] 郑越瑜.早期康复护理干预对老年下肢骨折患者治疗依从性的影响[J].中国医药科学,2017,7(14):121.
[15] 翟越,虞正红,王颖,等.护理临床决策支持系统疼痛专项模块的构建及应用[J].护理学杂志,2022,37(9):1-4.
[16] 何锦勇,刘爱茵,庾广文,等.双反牵引复位经皮微创锁定接骨板内固定治疗股骨远端骨折的临床疗效[J].中国医药科学,2017,7(13):195-197.
[17] 黄天文,陈晓玲,谭云娟,等.疼痛护理质量指标的建立及在骨科病房的应用[J].中华护理杂志,2015,50(2):148-151.
[18] 杨光,卢敏,胡权,等.一种创伤性长骨骨折骨牵引定位装置[J].创伤外科杂志,2018,20(10):795-796.
[19] 赵泽雨,吕乾,朱跃良.肢体骨折牵引技术的发展[J].创伤外科杂志,2018,20(9):711-715.
[20] 杨光,胡权,卢敏,等.一次性骨牵引架托布的研制[J].护理学报,2018,25(1):73-74.
[21] 杨菁,刘梅,杨春静,等.下肢骨牵引患者应用持续质量改进模式的效果[J].实用临床医药杂志,2018,22(8):69-72.
[22] 陈飞强,吴耿,黄丽仪,等.外固定支架辅助牵引复位内固定治疗股骨远端骨折[J].临床骨科杂志,2020,23(2):252.
[23] 董文伟,毛海蛟,姚立炜,等.胫骨牵引架在股骨远端骨折经皮微创钢板内固定中的应用[J].中华骨科杂志,2018,38(22):1357-1365.
[24] 张健,方丹,李蕊,等.骨科牵引床脚套在股骨骨折患者手术固定中的临床应用[J].中国实用护理杂志,2018, 34(30):2386-2389. |
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