Title : Effect of comfort care empowerment combined with quality care on postoperative pain levels and negative emotions in patients with hip fracture
Abstract:
Background: Hip fracture is usually triggered by violence, transitional strain injury and other factors, resulting in redness, swelling, pain and activity limitation of the affected limb, which seriously affects the quality of life. At present, for these patients, hip replacement and internal fixation are mostly used to help hip fracture patients to reset the fracture end and improve their prognosis. However, due to the large trauma of surgery, and most of the surgical objects are elderly, patients with aging blood vessels, muscle contraction ability decreased, postoperative blood flow is prone to stagnation, blood hypercoagulability and other phenomena, and at the same time, it may increase the risk of deep vein thrombosis (DVT), which seriously affects the recovery process. Therefore, it is particularly important to actively adopt effective interventions. This study analyzes the effects of comfort care empowerment combined with quality care on postoperative pain levels and negative emotions in hip fracture patients, clarifies the application value of comfort care empowerment combined with quality care, and thus provides a reference for the selection of clinical intervention methods.
Methods: 80 patients admitted to our hospital for hip fracture surgery from March 2023 to March 2024 were randomly divided into the control group (n=40) and the observation group (n=40), with the control group practicing conventional nursing care and the observation group practicing comfort care empowerment combined with quality care. VAS score, negative emotion (SAS score and SDS score), complications and patient satisfaction were compared between the two groups.
Results: The VAS score of the observation group was 1.22±0.23, which was significantly lower than that of the control group of 3.88±0.38, and the scores of the two groups were statistically significant (P<0.05). The SAS score and SDS score of negative emotions in the observation group were 30.66±1.55 and 34.88±1.17, respectively, which were significantly lower than the SAS score and SDS score of 49.19±3.34 and 47.12±3.51 of the control group, and the negative emotions of the two groups were statistically significant (both P<0.05). In the observation group, there was 1 case of constipation, 0 cases of thrombophlebitis, 1 case of pressure injury, and 1 case of lung infection, with a total incidence of 7.5%; in the control group, there were 2 cases of constipation, 2 cases of thrombophlebitis, 2 cases of pressure injury, and 3 cases of lung infection, with a total incidence of 22.5%, and the rate of complications in the patients of the observation group was significantly lower than that of the control group, and the difference was statistically significant when compared with the two groups (P<0.05). The satisfaction score of patients in the observation group was 91.06±8.34 points, and the satisfaction of patients in the control group was 83.17±7.26 points in order, and the satisfaction of patients in the observation group was significantly higher than that of the control group, and the difference was statistically significant when compared between the two groups (P<0.05).
Conclusion: Comfort care empowerment combined with quality care for hip fracture surgery patients reduces the level of pain, facilitates the enhancement of healing effects, ensures that the negative emotions of patients are effectively released, accelerates the speed of their recovery process, improves the hip function of patients and enhances the level of quality of life.
Keywords: comfort care;quality care; hip fracture patients; pain levels; negative emotions.
