The alleviation of pain and the reduction of the incidence of complications in pediatric supracondylar humerus fractures through the clinical nursing pathway

Objective: To explore the application of the clinical nursing pathway (CNP) in the operation of pediatric supracondylar humerus fractures. Methods: 92 children with supracondylar humerus fractures who underwent internal fixation in our hospital were randomly divided into group A (N=46) and group B (N=46). The visual analogue scale (VAS) and modified objective pain score (MOPS) were used to assess the children's pain before and after nursing. The Mayo elbow function score was used to evaluate the recovery of elbow function in children. The incidences of complications, treatment compliance, and nursing satisfaction were observed during treatment. Results: The VAS and MOPS scores of group A and group B were lower than they were before nursing (P<0.001). The scores of VAS and MOPS in group A were lower than those in group B after nursing (P<0.01). The stability of the elbow joints, pain, daily activities, motor function scores and Mayo scores in group A and group B were higher than those before nursing and group A showed higher scores than group B (P<0.001). The incidence of complications in group A was lower than it was in group B (P<0.01). The scores of group A in compliance with medical drugs, a reasonable diet, combined exercise, and regular follow-up were much higher than those in group B (P<0.001). A higher satisfaction was recorded in group A than in group B (P<0.05). Conclusion: CNP intervention can alleviate the pain of pediatric supracondylar humerus fractures, promote the rehabilitation of elbow joint function, reduce the incidence of postoperative complications, and improve treatment compliance and nursing satisfaction.