活动性疼痛评估在髋关节置换术患者中的应用效果  

Application effect of assessment of dynamic pain in patients undergoing hip replacement

作　　者：梁静娟 雷玮 Liang Jingjuan;Lei wei(Huashan Sub-Hospital of Fudan University, Shanghai 200032, China)

机构地区：[1]复旦大学附属华山医院骨科,上海200032

出　　处：《国际护理学杂志》2019年第8期1034-1038,共5页international journal of nursing

摘　　要：目的探讨活动性疼痛评估在髋关节置换术患者中的应用效果。方法选取2015年5月~2017年4月该院首次行髋关节置换术的患者180例,随机分为观察组和对照组,各90例。手术前,两组患者均接受护士的疼痛宣教,掌握NRS(Numberical Rating Scale)的自评方法,观察组在此基础上接受FPS量表(Function Pain Scale)的相关知识及使用方法。手术后,对照组予以常规静息疼痛评估,护士根据NRS评分调整镇痛方案;观察组予以静息及活动性疼痛联合评估,护士根据NRS评分及FBS量表评分调整镇痛方案。结果两组术后24 h疼痛强度、Harris髋关节评分、疼痛管理满意度比较,差异均有统计学差异(均P<0.05)。结论静息性联合活动性疼痛评分能有效管理髋关节置换术患者的术后疼痛,改善康复效果,提高患者的满意度。Objective To evaluate the effect of dynamic pain assessment in hip arthroplasty. Methods A total of 180 patients who underwent hip replacement for the first time from May 2015 to April 2017 were randomly divided into the observation group and the control group, with 90 patients in each group.Before the surgery, patients in both groups received pain education from nurses and mastered the self-assessment method of NRS(Numberical Rating Scale). On this basis, the observation group received relevant knowledge and application methods of Function Pain Scale.After surgery, the control group was routinely assessed for rest pain, and the nurses adjusted the analgesic regimen according to the NRS score.The observation group was given a combined assessment of rest and dynamic pain, and the nurses adjusted the analgesic regimen according to NRS score and FBS scale score. Results There were statistically significant differences between the two groups in pain intensity 24 hours after surgery, Harris hip score, and pain management satisfaction(P<0.05). Conclusion Resting combined with dynamic pain score can effectively manage postoperative pain of patients undergoing hip replacement, improve rehabilitation effect and improve patient satisfaction.

关 键 词：髋关节置换术 活动性疼痛评估 康复 

分 类 号：R473.6[医药卫生—护理学]