智能化疼痛管理决策与质量监测系统在跟骨骨折内固定手术患者中应用

Application of intelligent pain management decision-making and quality monitoring system in patients after calcaneus fracture and foot and ankle surgery

目的探讨智能化疼痛管理决策与质量监测系统在跟骨骨折内固定手术患者中的应用效果。方法选取2019年1-6月收治的跟骨骨折内固定术患者40例为对照组,行常规性疼痛干预,选取2019年7-12月骨科收治的跟骨骨折内固定术患者42例为研究组,应用智能化疼痛管理决策与质量检测系统对患者实施疼痛管理,比较2组干预前后疼痛评分、睡眠质量、术后锻炼依从率、并发症发生率、足踝功能恢复情况及患者满意率。结果研究组干预后数字疼痛评分量表(numerical rating scale,NRS)评分、匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)、并发症发生率均低于对照组(t=5.464,P<0.001;t=16.940,P<0.001;χ^(2)=5.550,P=0.018),术后锻炼依从率、Morrey评分、MaryLand评分及满意率均高于对照组(χ^(2)=9.217,P=0.002;t=12.906,P<0.001;t=10.687,P<0.001;χ^(2)=6.717,P<0.001)。结论智能化疼痛管理决策与质量监测系统能有效减轻患者跟骨骨折内固定术后的疼痛感,提高锻炼的依从性,降低并发症的发生率,有利于患者术后的康复,提高患者的满意度。

Objective To explore the application of intelligent pain management decision-making and quality monitoring system in patients with calcaneal fracture and foot and ankle surgery.Methods Forty-two patients undergoing the calcaneal fracture and ankle surgery in our hospital in the second half of 2019 were selected into the research group,while another 40 undergoing the same treatment in the first half of 2019 were chosen into the control group.The control group was given routine pain management,while the research group was provided with pain management based on the intelligent decision-making and quality monitoring system.Both groups were evaluated and compared the numerical rating scale(NRS)score,Pittsburgh sleep quality index(PSQI),postoperative exercise compliance rate,complication rate,recovery of the ankle function and patients′satisfaction before and after the intervention.Results The scores of NRS and PSQI and complication rate of the research group were significantly lower than that of the control group after the intervention(t=5.464,P<0.001;t=16.940,P<0.001;χ^(2)=5.550,P=0.018),while the postoperative exercise compliance rate,Morrey score,Maryland score and satisfaction rate of patients were significantly higher than those of the control group(χ^(2)=9.217,P=0.002;t=12.906,P<0.001;t=10.687,P<0.001;χ^(2)=6.717,P<0.001).Conclusion The application of the intelligent pain management decision-making and quality monitoring system can effectively reduce the postoperative pain and complication rate of patients undergoing calcaneal fractures and ankle surgery,improve their postoperative exercise compliance,rehabilitation and satisfaction.