护理干预对120例骨科患者术后疼痛的影响观察

Observation on influence of nursing intervention on postoperative pain of 120 patients in orthopedics department

目的研究护理干预对骨科患者术后出现疼痛的影响及作用，为今后的临床工作提供参考依据。方法选取2012年6月至2013年12月收治的120例经手术治疗的骨折患者为研究对象，按照护理方式的不同，将所有患者分为对照组与观察组，每组60例；对照组给予骨科常规护理，观察组在对照组的基础上给予疼痛护理干预，比较两组患者护理前后疼痛VSA评分、经护理后的镇痛效果、护理满意度。结果两组患者经护理后疼痛VSA评分比较差异有统计学意义（t=4．7241，P=0．0000）；理想镇痛率比较差异有统计学意义（χ^2=19．8333，P=0．0000）；护理满意度比较差异有统计学意义（χ^2=5．8368，P=0．0157）。结论经护理干预能有效减轻骨科患者疼痛，提高患者的生活质量，同时全面的提升护理水平，值得临床推广使用。

Objective To investigate influence of nursing intervention on postoperative pain of patients in orthopedics department, and provide a reference for clinical operations in the future. Methods 120 patients with fracture undergoing surgical treatment admitted in our hospital from June 2012 to December 2013 were selected as research subjects, and divided into control group and observation group with 60 cases in each group according to different methods of nursing. Patients in control group received routine nursing of orthopedics, and patients in observation group received pain nursing intervention on the basis of control group. VSA scores before and after nursing care, analgesic efficacy and nursing satisfaction of two groups were compared. Result There were statistically significant differences in pain VSA score after nursing care, ideally analgesic rate and nursing satisfaction between two groups （t=4.7241, P=0.0000; χ^2=19.8333, P=0.0000; χ^2=5.8368, P=0.0157）. Conclusions Nursing intervention can effectively relieve pain symptom of patients in orthopedics department, improve the life quality of patients, and overall enhance the level of nursing, worthy of clinical promotion.