骨科建立无痛病房对术后疼痛控制的效果评价  

Evaluation of painless ward program on management of postoperative pain after orthopedic surgery

作　　者：尹芝华[1] 高征[1] 唐红英[2] 

机构地区：[1]第三军医大学西南医院骨科,重庆400038 [2]第三军医大学护理学院,重庆400038

出　　处：《局解手术学杂志》2013年第5期485-487,共3页Journal of Regional Anatomy and Operative Surgery

基　　金：2011年西南医院护理科技创新基金(骨科无痛病房护理管理模式探索)

摘　　要：目的评价骨科建立无痛病房对患者术后疼痛控制的效果。方法对骨科术后患者镇痛效果进行前瞻性、非随机的对照研究,分为项目实施前(223例)及项目实施后(223例)2组,以数字等级评定量表对镇痛效果进行评估,用自编的"骨科疼痛控制及服务质量满意度调查表"对疼痛控制及服务质量满意度进行评价。结果与实施"无痛病房"前相比,实施"无痛病房"后术后1～3 d的疼痛评分显著降低(P<0.01),患者对疼痛控制各方面的满意度及服务质量满意度均明显上升(P<0.01)。结论实施"无痛病房"项目能显著提高骨科术后患者的镇痛效果,提高患者对疼痛控制及服务质量满意度,值得推广和应用。Objective To evaluate the painless ward program on management of postoperative pain after orthopedic surgery. Methods A total of 446 patients underwent orthopedic surgery were equally divided into the pre-phase group（ before the program） and the post-phase group（ after the program） to evaluate the effect of painless ward program by Numerical Rating Scale. And the satisfaction rate of patients were evaluated by the Pain Treatment and Quality of Services Satisfaction Scale in Orthopedics. Results Compared with that of the pre-phase group, the pain scores 1 to 3 days after surgery were much lower in the post-phase group （P 〈 0. O1 ） , and the patients＇satisfaction rate were obviously higher in the post-phase group （ P 〈 0.01 ）. Conclusion Painless ward program is a significant improvement in postoperative analgesia after orthopedic surgery, and patients were satisfied with this way of postoperative analgesia and medical service. This model could be widely used in different wards in the future.

关 键 词：骨科 无痛病房 手术后疼痛 镇痛 满意度 

分 类 号：R68[医药卫生—骨科学] R248.2[医药卫生—外科学]