多方位参与的联合疼痛管理在长骨骨折病人中的应用

Application of multidimensional joint pain management in patients with long bone fracture

目的观察多方位参与的联合疼痛管理(good pain management,GPM)在长骨骨折病人中的应用效果。方法将我院收治的76例长骨骨折病人随机分为观察组38例和对照组38例。术后疼痛护理中:对照组病人行常规疼痛管理,观察组病人行多方位参与的联合疼痛管理。采用中文版休斯顿疼痛情况满意度调查表(Houston pain outcome instrument,HPQI)分别对两组病人的疼痛护理满意度进行调查;并于疼痛管理干预前后采用特质应对方式问卷(TCSQ)调查两组病人对疾病的应对方式。结果观察组病人疼痛控制感知状况、疼痛教育状况及疼痛护理总体满意度的满意率依次为89.47%、94.74%、100.00%,均高于对照组的60.53%、68.42%、65.79%(P均<0.05)。疼痛管理干预后,观察组病人的积极应对得分和消极应对得分均优于对照组(P均<0.05)。结论长骨骨折病人疼痛护理中应用多方位参与的联合疼痛管理能有效缓解病人的疼痛体征,提高疼痛护理满意度,促使病人更积极地应对疾病。

Objective To observe the applied effect of multidimensional joint pain management in patients with long bone fractures.Methods Seventy-six cases of long bone fractures in our hospital were randomly divided into the observation group(38 cases)and the control group(38 cases).The control group was managed by conventional pain management,and the observation group was managed by multidimensional joint pain management.The patients’pain care satisfaction in two patients was investigated by the Chinese version of the Houston outcome instrument(HPQI).Before and after the pain management intervention,the coping styles in the two groups were investigated by the trait coping style questionnaire(TCSQ).Results The satisfaction rate of pain control perception,pain education status and overall satisfaction of pain care in the observation group were 89.47%,94.74%and 100.00%respectively,significantly higher than in the control group(60.53%,68.42%and 65.79%,P<0.05 for all).After the intervention of pain management,the average positive coping score was significantly higher,and the average negative coping score was significantly lower in the observation group than that in the control group(P<0.05 for all).Conclusion The application of multidimensional joint pain management in patients with long bone fracture can effectively relieve the pain and signs of patients,improve the satisfaction degree of pain nursing,and promote the patients to deal with the disease more actively.