Journal of Advances in Clinical Nursing

Objective The aim of this study was to analyze the effects of position management in patients with humeral fractures before and during surgery. Methods Thirty patients with humeral fracture who underwent open reduction and internal fixation in our hospital between June 2020 and May 2022 were selected as the study subjects. Before surgery, the patient is instructed to use the "encircling assistance method" to reduce pain during postural changes and movements; During the operation, the beach chair position was used, and the position was placed at 45° to optimize the procedure. Results Before surgery, 66.7% of patients had mild pain, 30.0% moderate pain and 3.3% severe pain. The average time of position placement during surgery was 2.8±0.5 minutes, and the average number of image acquisition by the mobile fluoroscope was 3.2±1.4 times. No incisional infection was observed after surgery. Conclusion Preoperative position management can relieve pain in patients with humeral fracture. Improved position during operation can reduce the workload and difficulty of nursing and reduce postoperative infection.

Humerus fracture; Postural care; Pain; Infect