High-quality nursing benefits patients with emergency trauma undergoing surgical debridement and suturing and helps relieve pain.
Year: 2023
Type: article
Abstract: OBJECTIVE: This study was designed to explore the clinical value of high-quality nursing in patients with emergency trauma undergoing surgical debridement and suture and its effects on pain relief. METHODS: The clinical data of 181 patients with emergency trauma who received surgical debridement and suture in Shangrao Municipal Hospital from January 2020 to December 2021 were analyzed retrospectively. Among them, patients who received routine nursing were assigned to a control group (n=85), and those who received high-quality nursing were assigned to an observation group (n=96). The neurologic rating scale (NRS) was adopted to evaluate the pain in the two groups before operation and at 1 d, 3 d, and 7 d after the operation. The rescue time and examination time in the two groups were recorded and analyzed, and the effective rescue rate and postoperative complications of the two groups were compared. In addition, the MOS 36-item short-form health survey (SF-36) was employed to evaluate the quality of life (QoL) of the two groups, and a self-designed nursing satisfaction questionnaire was adopted to evaluate and compare the nursing satisfaction in the two groups. The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate the status of anxiety and depression. In addition, independent risk factors for poor prognosis were analyzed by multivariate logistic regression. RESULTS: Before surgery and at 1 d after surgery, the NRS scores of the two groups were not significantly different, while at 3 d and 7 d after surgery, the NRS scores decreased significantly in both groups, and the observation group exhibited significantly lower NRS scores than the control group on these two days. There was no significant difference in the SAS and SDS scores between the two groups before nursing, while after nursing, the scores decreased significantly in both groups, and the decreases in the observation group were more significant than those of the control group. The observation group consumed a significantly shorter rescue time and examination time than the control group, and the observation group showed a significantly higher effective rescue rate than the control group. In addition, the observation group demonstrated a lower incidence of complications than the control group after surgery, and a higher QoL score than the control group. Moreover, the observation group exhibited a higher nursing satisfaction rate than the control group. Age, time from injury to medical treatment, and injury site were risk factors impacting the prognosis of patients, and age was an independent risk factor for prognosis. CONCLUSION: In patients with emergency trauma undergoing surgical debridement and suture, high-quality nursing can substantially contribute to lower pain, shorter rescue time, higher success rate of rescue, better QoL, and nursing satisfaction, and fewer complications. Therefore, high-quality nursing is worthy of clinical application.
Source: PubMed Central
Authors: Pinghua Hu, Huiling Wang, Yao Zheng
Language: English
Subfield: Emergency Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W4389799802