引力引脚插入的音频分心:一个前性的随机受控研究
Melissa Albersheim1, Fernando A Huyke-Hernández2,3, Stephen A Doxey2,3
1Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minnesota.
The Journal of bone and joint surgery. American volume
|April 10, 2024
概括
在骨引力针插入期间的音频分心 (AD) 显著减少了患者的焦虑. 虽然整体体验和疼痛水平仍然相似,但AD提供了一种实用的方法来提高患者在此过程中的舒适度.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 患者体验 患者体验
背景情况:
- 骨引力针插入远距离股骨或近距离骨通常对患有下肢骨折的患者来说是痛苦和痛苦的.
- 评估患者报告和医生报告的结果对于评估程序干预至关重要.
研究的目的:
- 为了确定骨引力针插入期间的音频分心 (AD) 是否可以改善患者的体验,减少疼痛和焦虑.
- 评估AD对医生报告的程序困难的影响.
主要方法:
- 在两个I级创伤中心进行的前性随机对照试验.
- 纳入标准:年龄≥18岁,有意识,定向,需要骨引力.
- 患者被随机分配,在插入针时接受音频分心 (AD) 或没有AD;结果通过患者和医生调查使用1到10的利克尔特尺度进行评估.
主要成果:
- 总共有54名患者被纳入;28人接受了AD,26人没有.
- 两组之间没有观察到患者报告的整体体验 (p=0.55) 或疼痛水平 (p=0.28) 的显著差异.
- 在AD组与没有AD组相比,AD组的焦虑水平在统计学上显著降低 (p=0.007);医生报告的困难类似 (p=0.69).
结论:
- 音频分心 (AD) 是一种可行且低成本的干预措施,用于减少患者在下肢骨引力针插入期间的焦虑.
- 阿迪可能会增强患者的手术经验,而不会对疼痛或医生评估的困难产生负面影响.
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