骨科术后疼痛评估及护理干预

Pain Assessment and Nursing Intervention after Orthopedic Surgery

目的:探讨骨科术后疼痛评估及不同的护理干预方法对减轻患者疼痛、提高患者满意度的影响。方法:将2013年1月-2014年6月骨科收治的156例手术后疼痛患者分为两组,对照组64例患者进行传统术后疼痛控制,研究组92例患者采用无痛病房规范化的疼痛管理,比较两组患者手术后疼痛控制的效果,以及患者的满意度。结果:术后第1天研究组患者疼痛评分(2.62±1.35)分,对照组(3.86±1.63)分,差异有统计学意义(t=4.685,P<0.01);研究组患者术后夜间睡眠时间比对照组延长,研究组患者(4±1.5)h,对照组(2±1.5)h,差异有统计学意义(t=3.637,P<0.01);患者对疼痛控制满意度高于对照组,研究组患者(90±7)%,对照组(55±5)%,差异有统计学意义(t=4.575,P<0.05);患者对治疗效果满意度高于对照组,研究组患者(95±5)%,对照组患者(70±5)%,差异有统计学意义(t=3.825,P<0.05)。结论:患者术后疼痛的正确评估,优质的护理干预,为减轻患者术后疼痛,促进创伤的恢复及心理、生理状态的调整创造条件,促进患者康复、提高患者的预后效果及生活质量,提高患者住院满意度。

Objective： To investigate the impact of different kinds of pain assessment and nursing intervention after orthopedic surgery, in order to relieve patients＇ pain and improve their satisfaction.Method： Patients, with post operative pain, received by orthopedics department from January 2013 to June 2014 were divided into 2 groups.Control group of 64 cases were treated with traditional methods to address pain, and the research group of 92 cases were handled with standardized pain management in painless ward.Then, compared the pain management effect of these two groups, and patients＇ satisfaction degree.Result： At the first day after operation, the pain score of research group patients was（2.62±1.35）,and control group was（3.86±1.63）,and this difference showed statistical significance（t=4.685,P〈0.01）.Patients in research group, with sleeping time of（4±1.5）hours at night, was better than patients in control group with（2±1.5）hours,contributed to statistical significance（t=3.637,P〈0.01）.Compared to control group（55±5）%, patients were more satisfied with pain control in research group（90±7）%,and the difference was statistically significant（t=4.575,P〈0.05）.As to therapeutic effect, research group patients with（95±5）%, were more satisfied than control group（70±5）%,a statistically significant difference（t=3.825,P〈0.05）.Conclusion：The correct evaluation of pain assessment after operation and high-class nursing intervention could help patients reduce pain and promote the recovery of trauma.Furthermore, patients＇ mental and physical state could be improved under this condition, which could accelerate patients＇ recovery and enhance their prognosis effect.In addition, their qualities of life have been improved, contributing to higher degree of satisfaction with hospitalization.