人工全膝关节置换围手术期实施疼痛管理对患者的影响  

Clinical Effects of Pain Management Practice on Patients in Total Knee Arthroplasty Perioperative Period

作　　者：李云[1] 韩玉芳[1] 丁利琼[1] 

机构地区：[1]山东省青岛市市立医院,山东青岛266000

出　　处：《中国医学创新》2015年第32期91-95,共5页Medical Innovation of China

摘　　要：目的:对比人工膝关节置换围手术期实施疼痛管理前后,患者疼痛认知及患护互动的改变。方法:选取150例人工膝关节置换患者作为研究对象,将其中75例手术前不实施疼痛管理的患者设为A组,另75例在围手术期实施疼痛管理的患者设为B组,评价分析两组患者对围手术期疼痛认知情况、患者疼痛情况、对围手术期疼痛控制满意程度及医疗行为依从性。结果:实施疼痛管理后,B组患者的Mc Gill疼痛强度评分各项调查结果分别为(2.53±1.37)、(3.45±1.32)、(1.33±0.82)、(4.19±0.94)分,均明显低于A组,差异均有统计学意义(P<0.01)。B组术后静息状态24 h的VAS评分(4.13±2.30)分明显低于A组的(5.42±1.78)分,各疼痛程度分级人数均明显优于A组,差异均有统计学意义(P<0.05)。B组患者的正向项平均分(5.25±0.98)分明显高于A组的(4.90±0.87)分,反向项平均分(1.28±0.71)分明显低于A组的(1.79±0.86)分,患者对疼痛控制满意评分及满意率均明显高于A组,差异均有统计学意义(P<0.05)。结论:实施人工膝关节置换围手术期疼痛管理,可增强患者对疼痛的认知,有效降低术后24 h患者痛感及提高患者对医疗行为的依从性,进而增大疼痛控制的满意度。Objective：To compare the changes of pain perception and patient care interaction before and after the implementation of pain management in total knee arthroplasty during perioperative period.Method：150 patients who underwent total knee arthroplasty were selected as research objects.75 cases were regarded as group A and not given pain management before surgery,75 cases were regarded as group B and given pain management during perioperative period.The knowledge regarding pain of patients,the scores of the pain after the operation,patients＇ satisfactory degree of perioperative pain control and compliance of medical behavior of the two groups were evaluated and analyzed.Result：After the implementation of pain management,the results of the survey of the Mc Gill pain intensity score in the group B were（2.53±1.37）,（3.45±1.32）,（1.33±0.82）,（4.19±0.94）scores,which were significantly lower than those in the group A,the differences were statistically significant（P〈0.01）.The VAS score of resting state 24 h after operation in the group B was（4.13±2.30）scores,which was significantly lower than（5.42±1.78）scores of group A,all the pain degree classification number of the group B were significantly better than those of group A,the differences were statistically significant（P〈0.05）.The average score of positive items in the group B was（5.25±0.98）scores,which was significantly higher than（4.90±0.87）scores in the group A,the average score of negative items in the group B was（1.28±0.71）scores,which was significantly lower than（1.79±0.86）scores in the group A,the patient satisfaction score and satisfaction rate of pain control of the group B were significantly higher than the group A,the differences were statistically significant（P〈0.05）.Conclusion：The pain management in total knee arthroplasty preoperative period can improve the patients＇ knowledge regarding pain,ensure the quality of pain control,therefore increase the satisfaction of the patients regardi

关 键 词：疼痛管理 疼痛干预 人工膝关节置换 

分 类 号：R473.6[医药卫生—护理学]