症状日记在严重手部创伤患者康复期症状管理中的应用研究

中华养生保健 ›› 2025, Vol. 43 ›› Issue (4): 13-19.

症状日记在严重手部创伤患者康复期症状管理中的应用研究

莫兰¹, 傅育红², 毛雷音¹, 苏晓雯³, 蒋云雯⁴, 陈丽佳⁴, 周文⁴

1.无锡市第九人民医院护理部,江苏无锡,214062;
2.无锡市第九人民医院质管办,江苏无锡,214062;
3.无锡市第九人民医院急诊医学科,江苏无锡,214062;
4.无锡市第九人民医院骨科,江苏无锡,214062

出版日期:2025-02-16 发布日期:2025-02-14
作者简介:莫兰（1983—）,女,汉族,籍贯：江苏省无锡市,硕士研究生,副主任护师,研究方向：骨科护理。
基金资助:
中华护理学会青年项目（ZHKYQ202317）; 无锡市卫生健康委科技成果与适宜技术推广项目（T202204）

Application Study of Symptom Diary in Symptom Management During the Rehabilitation Period of Patients with Severe Hand Trauma

Mo Lan¹, Fu Yu-hong², Mao Lei-yin¹, Su Xiao-wen³, Jiang Yun-wen⁴, Chen Li-jia⁴, Zhou Wen⁴

1. Department of Nursing, Wuxi Ninth People's Hospital, Wuxi 214062, China;
2. Quality Control Office, Wuxi Ninth People's Hospital, Wuxi 214062, China;
3. Department of Emergency Medicine, Wuxi Ninth People's Hospital, Wuxi 214062, China;
4. Department of Orthopedics, Wuxi Ninth People's Hospital, Wuxi 214062, China

Online:2025-02-16 Published:2025-02-14

摘要/Abstract

摘要： 目的探讨症状日记与自我管理在严重手部创伤患者康复期症状管理应用的效果。方法将2023年1月—2023年12月在某三级甲等骨科专科医院严重手部创伤患者作为研究对象,按入院先后顺序分为干预组（70例）和对照组（72例）,对照组给予常规护理,干预组在对照组的基础上使用症状日记。干预6个月后,比较两组患者并发症报告准确率、报告时间。比较两组患者的身体功能、焦虑、抑郁、疲劳、睡眠困扰、社会交往的差异。结果对照组（69例）、干预组（66例）分别完成研究。干预组报告并发症（例次）、确诊症状（例次）的比例,报告准确率（%）上显著高于对照组,报告时间显著短于对照组,差异有统计学意义（P<0.05）。与对照组相比,干预组在随访6个月后,身体功能、焦虑、抑郁、疲劳得分均低于对照组,差异有统计学意义（P<0.05）。两组患者睡眠困扰、社会交往得分比较差异无统计学意义（P>0.05）。结论症状日记有助于提高患者早期识别严重手部创伤患者并发症,减轻患者的症状负担,提高其生活质量。

关键词: 严重手部创伤, 症状管理, 康复期, 症状日记, 患者报告结局

Abstract: Objective To explore the effect of symptom diary on the rehabilitation period in patients with severe hand trauma. Methods Patients with severe hand trauma in a tertiary orthopedic hospital from January 2023 to December 2023, were divided into intervention group (74 cases) and control group (72 cases) according to the order of admission. The control group received routine care, and the intervention group used symptom diary on the basis of the control group. Six months after the intervention, the complication reporting accuracy and reporting time were compared between the two groups. Comparing the differences in physical function, anxiety, depression, fatigue, sleep distress, and social interaction in group 2. Results The control group (69 cases) and the intervention group (66 cases) completed the study respectively.The proportion of complications (cases) and confirmed symptoms (cases) reported by the intervention group was significantly higher than that of the control group, with a significantly higher reporting accuracy (%) and a significantly shorter reporting time.The differences were statistically significant （P<0.05). Compared to the control group, the intervention group had lower physical functioning, anxiety, depression and fatigue scores after 6 months of follow-up, and the difference was statistically significant （P<0.05). The difference between the two groups in sleep disturbance and social interaction scores was not statistically significant （P>0.05). Conclusion Symptom diary can help improve the early identification of complications in patients with severe hand trauma, reduce the burden of symptoms, and improve their quality of life.

Key words: severe hand trauma, symptom management, recovery period, symptom diary, patient reported outcome

中图分类号:

R473.6

莫兰, 傅育红, 毛雷音, 苏晓雯, 蒋云雯, 陈丽佳, 周文. 症状日记在严重手部创伤患者康复期症状管理中的应用研究[J]. 中华养生保健, 2025, 43(4): 13-19.

Mo Lan, Fu Yu-hong, Mao Lei-yin, Su Xiao-wen, Jiang Yun-wen, Chen Li-jia, Zhou Wen. Application Study of Symptom Diary in Symptom Management During the Rehabilitation Period of Patients with Severe Hand Trauma[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(4): 13-19.

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