首页|疼痛综合管理应用于骨科术后患者快速康复的效果

疼痛综合管理应用于骨科术后患者快速康复的效果

扫码查看
目的 探讨疼痛综合管理在骨科Ⅱ级及以上手术患者加快外科康复中的临床应用效果。方法 选取2022年1月至12月鹰潭市人民医院骨科收治的62例Ⅱ级及以上手术患者作为研究对象,采用随机数字表法分为对照组和试验组,每组各31例。对照组采用常规疼痛护理方法,患者疼痛时进行干预,不疼痛时不干预。试验组在常规疼痛护理方法的基础上应用疼痛综合管理方法,从入院当天干预至出院,根据"疼痛综合评估与管理规范"要求应用评估工具,对患者疼痛进行评估,与医生共同商讨控制疼痛的措施方案。观察两组患者的焦虑、抑郁评分,术前,术日,术后第1、2天疼痛评分平均值,首次下床活动时间,住院时间。结果 试验组患者的焦虑、抑郁、疼痛评分均低于对照组,差异有统计学意义(P<0。05);试验组患者首次下床活动时间、住院时间均短于对照组,差异有统计学意义(P<0。001)。结论 综合疼痛管理将骨科Ⅱ级及以上手术患者的疼痛被动管理变为主动管理,降低疼痛评分,提高患者的生活质量,缩短住院时间,加速外科快速康复。
Effect of integrated pain management on rapid rehabilitation of patients after orthopedic surgery
Objective To investigate the clinical effect of integrated pain management in accelerating surgical rehabilitation of orthopaedic patients at grade Ⅱ and above undergoing surgery.Methods A total of 62 patients undergoing surgery at grade Ⅱ and above admitted to the Department of Orthopedics of Yingtan City People's Hospital from January to December 2022 were selected as the research objects,and they were divided into control group and experimental group according to random number table method,with 31 cases in each group.The control group was treated with conventional pain nursing methods,intervened when the patients were in pain and didn't intervene when they were not in pain.The experimental group applied integrated pain management method on the basis of conventional pain nursing methods,intervened from the day of admission until discharge,according to the requirements of"comprehensive pain assessment and management norms",applied assessment tools to evaluate patients'pain,and jointly discussed pain control measures with doctors.The scores of anxiety and depression,the mean values of pain scores before surgery,the day of surgery,the first day and second day after surgery,first time out of bed and hospital stay were observed.Results The average scores of anxiety,depression and pain in experimental group were lower than those in control group,the differences were statistically significant(P<0.05).First time out of bed and hospital stay in experimental group were shorter than those in control group,and the differences were statistically significant(P<0.001).Conclusion Integrated pain management can change the passive pain management into active management,reduce the pain score,improve the quality of life of patients,shorten the length of hospital stay,and accelerate the rapid surgical recovery.

Orthopedic grade Ⅱ and aboveIntegrated pain managementNegative emotionEnhanced recovery after surgery

徐萍、徐洪涛、徐月红、孔梦娇、杨珍珍

展开 >

江西省鹰潭市人民医院骨科,江西鹰潭 335000

江西省鹰潭市人民医院护理部,江西鹰潭 335000

江西省鹰潭市人民医院体检中心,江西鹰潭 335000

骨科Ⅱ级及以上 疼痛综合管理 负性情绪 外科快速康复

江西省鹰潭市科技计划项目

YKZ2022016

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(2)
  • 32