Download PDF
CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2015; 05(01): 026-030
DOI: 10.1055/s-0040-1703858
Original Article

PAIN, ANXIETY & FUNCTIONAL STATUS OF PATIENTS WITH LOWER LIMB FRACTURE AND DISLOCATION AFTER OPEN REDUCTION

Ambili Alphonse Thomas
1   Post Graduate, Department of Medical Surgical Nursing, Nitte Usha Institute of Nursing Sciences, Nitte University, Paneer, Mangalore, Karnataka, India
,
Fatima D'silva
2   Principal & Professor, Department of Medical Surgical Nursing, Nitte Usha Institute of Nursing Sciences, Nitte University, Paneer, Mangalore, Karnataka, India
› Author Affiliations
› Further Information
  PDF Download Permissions and Reprints

Abstract

A descriptive-co relational study was conducted to assess severity of pain, level of anxiety and functional status of patients with lower th rd limb fracture and dislocation after open reduction from 17th September to 3rd Nov 2012. Purposive sampling technique was used to select the subjects for the study. Data was collected by using demographic proforma, Numerical Pain Rating Scale, Beck's Anxiety Inventory and Functional status rating scale. The findings of the study showed that out of sixty samples, majority were males 49(82%). Majority of the subjects 53(88%) were married. Nature of job revealed that 21 (35%) were laborers. 27 (45%) of the subjects had monthly income between 5001-8000 rupees. 32 (53.3%) had no habits of smoking, alcoholism or tobacco chewing. The findings of the study revealed that on the first post-operative day the mean value of pain (8.70), anxiety (22.85) and functional status scores (49.20) was greater than the pain (1.70), anxiety (11.90) and functional status scores (3.453) of the tenth post-operative day. A significant association was found between functional status and age (p=0.043, 0.05 level of significance). No significant correlation was found between severity of pain, level of anxiety and functional status of these patients.

Keywords

Pain - anxiety - functional status - lower limb fracture


Publication History

Article published online:
22 April 2020

© .

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

  • References

  • 1 Shiel C. Fracture. [Serial on the Internet]. Medicine Net Inc.; 2007 [cited 2012 Feb 7]. Available from:MedicineNet.com.http://www.medicinenet.com/fracture/article.htm.
  • 2 Indian driving school. [Serial on the Internet].2010Dec [cited 2012 Sep 12]. Available on URL :http://www.indiandrivingschools.com/accidents-on-indian-roads.html.
  • 3 Wikipedia the free encyclopedia [serial on the Internet]. Bone fracture, [cited 2012 Feb 12]. Available from: http://en.wikipedia.org/wiki/Bone_fracture
  • 4 Pallant F J, Baily M C. Assessment of the structure of the hospital anxiety and depression scale in musculoskeletal patients. Health and quality of life outcomes. [Serial on the Internet]. 2005 Dec [cited 2012 Sep 12]; 82(3):82. Available on: http://www.hqlo.com/content/3/1/82.
  • 5 Epidemiology of Road Traffic Accidents in India-a Review of Literature. [Internet]. 2010 May [cited 2012 Dec 5]. [Serial on the Internet].2012 Nov [cited 2012 Dec 12]. Available on: http://www.srtt.org/road_traffic_accidents.htm.
  • 6 Mohit Bhandari, Jason W. Busse, Beate P. Hanson, Pamela Leece, . Olufemi R. Ayeni,Emil H. Schemitsch Psychological distress and quality of life after orthopedic trauma: an observational study. Pubmed. [Internet]. 2008 Feb.[cited 2012 sep 12]. 51(1): 15–22. Available on: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2386305. \
  • 7 Kaye J A, Jick H. Epidemiology of lower limb fractures in general practice in the United Kingdom. [Internet]. 2004 Sep [cited 2013 Feb 11]. 10:368-374. Available on: http://injuryprevention.bmj.com/content/10/6/368.short
  • 8 Ismail AA 1, Pye SR, Cockerill WC, Lunt M, Silman AJ, Reeve J, Banzer D, Benevolenskaya LI, Bhalla A, Bruges Armas J, Cannata JB, Cooper C, Delmas PD,Dequeker J, Dilsen G, Falch JA, Felsch B, Felsenberg D, Finn JD, Gennari C, Hoszowski K, Jajic I, Janott J, Johnell O, Kanis JA, Kragl G, Lopez Vaz A, Lorenc R, Lyritis G, Marchand F, Masaryk P, Matthis C, Miazgowski T, Naves-Diaz M, Pols HA, Poor G, Rapado A, Raspe HH, Reid DM, Reisinger W, Scheidt-Nave C,Stepan J, Todd C, Weber K, Woolf AD, O'Neill TW.. Incidence of Limb Fracture across Europe: Results from the European Prospective Osteoporosis Study. [Internet]. 2002 Jun [cited 2013 Feb 11]. 13(7): 565-571. Available on: http://link.springer.com/article/10.1007%2Fs001980200074?LI=true
  • 9 MacKenzie EJ1, Burgess AR, McAndrew MP, Swiontkowski MF, Cushing BM, deLateur BJ, Jurkovich GJ, Morris JA Jr.. Patient-oriented functional outcome after unilateral lower extremity fracture. Pubmed. [Internet]. 1993 May.[cited 2012 sep 12]. 7(5):393-401. Available on : http://www.ncbi.nlm.nih.gov/pubmed/8229375
  • 10 Morrison RS, Siu AL. A comparison of pain and its treatment in advanced dementia and cognitively intact patients with hip fracture. Pubmed. [Internet] 2000 Apr. [cited 2012 Sep 12]. 19(4):240-8. Available on: http://www.ncbi.nlm.nih.gov/pubmed/10799790.
  • 11 Castillo RC, MacKenzie EJ, Wegener ST, Bosse MJ. Prevalence of chronic pain following limb threatening lower extremity trauma. Pubmed. [Internet] 2006 Jun [cited 2012 Sep 12]. 124(3):321- 9. Available on: http://www.ncbi.nlm.nih.gov/pubmed/16781066.
  • 12 Wong EM, Chan SW. The pain experience and beliefs of Chinese patients who have sustained a traumatic limb fracture. Pubmed. [Internet]. 2008 Apr. [cited 2012 sep 12]. 16(2):80-7. Available on : http://www.ncbi.nlm.nih.gov/pubmed/18519058.
  • 13 Ziad M Hawamdeh MZ, Othman S Y, and IbrahimAI. Assessment of anxiety and depression after lower limb fracture in Jordanian patients. Pubmed[Internet]. 2008 Jun [cited 2013 Feb 12]. 4(3): 627–633. Available on: http://www.ncbi.nlm.nih.gov/pmc/articles /PMC2526369/
  • 14 Cree M, Carriere KC, Soskolne CL, Suarez-Almazor M. Functional dependence after hip fracture. Pubmed. [Internet]. 2001 Oct [cited 2012 Sep 12]. 80(10):736-43. Available on : http://www.ncbi. nlm.nih.gov/pubmed/11562555
  • 15 Wang CH, Tsay SL, Bond AE. Post-traumatic stress disorder, depression, anxiety and quality of life in patients with traffic-related injuries. Pubmed. [Internet]. 2005 Oct. [cited 2012 Sep 12]. 52(1):22-30. Available on: http://www.ncbi.nlm.nih.gov/pubmed/16149977.