基于目标管理理论探析中药封包联合耳穴压豆对创伤性骨折患者术后止痛疗效的研究
A Study on the Efficacy of Combined Chinese Herbal Packing and Auricular Acupuncture for Postoperative Pain Relief in Traumatic Fracture Patients Based on Goal Management Theory
摘要: 目的：探讨基于目标管理理论探析中药封包联合耳穴压豆对创伤性骨折患者术后止痛的疗效。方法：选取2025年1月至2025年11月就诊于南昌某三甲医院急诊科的创伤性骨折患者，随机将患者分为观察组和对照组，各60例。对照组给予常规护理干预，观察组给予基于目标管理理论探析中药封包联合耳穴压豆干预。比较两组患者疼痛程度、心理状态及护理满意度。结果：干预后，观察组VAS评分(3.63 ± 0.94)低于对照组(5.66 ± 1.03)，差异有统计学意义(t = 11.237, P < 0.05)；观察组BAI、BDI-II评分均低于对照组，差异均有统计学意义(P < 0.05)；观察组100% (60/60)的护理满意度高于对照组91.67% (55/60)，差异有统计学意义(P < 0.05)。结论：基于目标管理理论探析中药封包联合耳穴压豆可有效缓解创伤性骨折患者术后疼痛程度，改善心理状态，同时提高护理满意度，值得推广应用。
Abstract: Objective: To investigate the efficacy of combined Chinese herbal packing and auricular acupuncture for postoperative pain relief in traumatic fracture patients based on goal management theory. Methods: Traumatic fracture patients admitted to the emergency department of a tertiary hospital in Nanchang from January 2026 to November 2026 were enrolled and randomly assigned to an observation group and a control group (n = 60 each). The control group received routine nursing care, while the observation group underwent the target management theory-based intervention combining Chinese herbal poultice therapy with auricular acupressure. Pain intensity, psychological status, and nursing satisfaction were compared between groups. Results: After intervention, the VAS score in the observation group (3.63 ± 0.94) was significantly lower than that in the control group (5.66 ± 1.03) (t = 11.237, P < 0.05). Both BAI and BDI-II scores in the observation group were significantly lower than those in the control group (P < 0.05). Nursing satisfaction in the observation group (100%, 60/60) was higher than that in the control group (91.67%, 55/60), with statistically significant differences (P < 0.05). Conclusion: Based on the theory of goal management, the combination of Chinese herbal poultice therapy and auricular seed therapy can effectively alleviate postoperative pain levels, improve psychological status, and enhance nursing satisfaction in patients with traumatic fractures. This approach warrants further promotion and application.
文章引用：尹晨, 毕正琴. 基于目标管理理论探析中药封包联合耳穴压豆对创伤性骨折患者术后止痛疗效的研究[J]. 临床医学进展, 2026, 16(1): 1872-1878. https://doi.org/10.12677/acm.2026.161236

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