围术期疼痛管理方案在创伤性脊髓损伤患者中的应用

Application of Perioperative Pain Management Program in Patients with Traumatic Spinal Cord Injury

目的:探讨围术期疼痛管理方案在创伤性脊髓损伤患者中的应用效果。方法:选取2022年9月1日~2023年9月1日进行治疗的创伤性脊髓损伤患者86例,以随机数字表法分为观察组和对照组各43例,对照组采用围术期常规护理干预,观察组采用围术期疼痛管理方案干预,比较两组视觉模拟评分法(VAS)评分、疼痛护理干预有效率、自我效能、满意度及并发症发生率。结果:术后1、3、7 d,两组VAS评分低于术前1 d(P<0.05),且观察组低于对照组(P<0.01);干预后,观察组疼痛护理干预有效率、满意度高于对照组(P<0.05);干预后,两组GSES评分高于干预前(P<0.05),且观察组高于对照组(P<0.01);观察组并发症发生率低于对照组(P<0.05)。结论:采用围术期疼痛管理方案干预可降低创伤性脊髓损伤患者的疼痛评分,提高其疼痛护理干预有效率及自我效能,同时提高满意度,减少并发症发生。

Objective:To explore the application effect of perioperative pain management program in patients with traumatic spinal cord injury.Methods:A total of 86 patients with traumatic spinal cord injury,treated from September 1,2022 to September 1,2023,were selected and divided into an observation group and a control group according to the random number table method,with 43 cases in each group.The control group received routine perioperative nursing intervention,and the observation group was given intervention of perioperative pain management program.The visual analogue scale(VAS)score,effective rate of pain nursing intervention,self-efficacy,satisfaction and incidence of complications were compared between the two groups.Results:On 1,3,and 7 days after operation,VAS scores in the two groups were lower than those on 1 day before operation(P<0.05),and VAS scores in the observation group were lower than those in the control group(P<0.01).After the intervention,the effective rate and satisfaction of pain nursing intervention in the observation group were higher than those in the control group(P<0.05).The GSES scores of the two groups were higher after intervention than those before intervention(P<0.05),and the GSES scores of the observation group were higher than those in the control group(P<0.01).The incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion:The intervention of perioperative pain management program can reduce the pain score of patients with traumatic spinal cord injury and improve their pain care efficiency and self-efficacy,and improve satisfaction and reduce complications.