围手术期规范化疼痛管理在踝关节骨折治疗中的效果

Evaluation of perioperative standardized pain management in the treatment of ankle joint fracture

目的分析围手术期疼痛的规范化管理在踝关节骨折治疗中的效果。方法选取我科2015年1月至2015年6月、2015年7月至2016年1月收治并进行手术的踝关节骨折患者各23例分别作为对照组和试验组。对照组给予常规护理;试验组给予规范化的疼痛管理体系。比较分析两组患者在围手术期内的关节恢复情况和疼痛控制情况。结果试验组护士知识水平、患者的术后疼痛评分及对护理满意度均优于对照组(P<0.05);试验组踝关节自主背伸90度所需时间也明显短于对照组(P<0.05)。结论对踝关节骨折患者在围手术期实施规范化的疼痛管理,能够提升疼痛护理水平、患者的疼痛控制质量及对疼痛护理的满意度,促进患者关节功能的早期康复。

Objective To analyze the effect of perioperative pain management in the treatment of ankle fracture.Methods From January 2015 to June 2015 and from July 2015 to January 2016, 23 cases of ankle joint fracture patients accepted surgery in our department were selected as control group and experimental group respectively. The control group was given conventional nursing; the experimental group was given standardized pain management. The condition of joint recovery and pain control during perioperative period were compared between two groups. Results The nurses' knowledge level, the postoperative pain score and the degree of satisfaction of patients were better than those in control group(P<0.05). The time required for independent ankle extensor 90 degrees was shorter than that in control group( P <0.05).Conclusion The implementation of standardized pain management in perioperative period of ankle joint fracture can improve the nursing level andcontrol quality of pain and nursing satisfaction, promote early rehabilitation aboutthe function of joint.