ZHONGHUA YANGSHENG BAOJIAN ›› 2025, Vol. 43 ›› Issue (4): 13-19.

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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. 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

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

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