多模式疼痛管理对骨科术后患者疼痛程度、预后效果及护理满意度的影响  

Effect of multimodal pain management on pain degree, prognosis and nursing satisfaction of patients after orthopedic surgery

作　　者：杨红萍[1] Yang Hongping(Department of Orthopedics,Hangzhou First People's Hospital,Hangzhou 310006,China)

机构地区：[1]杭州市第一人民医院骨科,310006

出　　处：《中华现代护理杂志》2019年第31期4106-4109,共4页Chinese Journal of Modern Nursing

摘　　要：目的 探讨多模式疼痛管理对骨科术后患者疼痛程度、预后效果和护理满意度的影响.方法 选取2017年3月-2018年6月杭州市第一人民医院骨科收治的166例患者为研究对象,按照随机数字表法分为对照组和观察组,每组83例.对照组进行常规护理,观察组在对照组的基础上,进行多模式疼痛管理.采用VAS疼痛评估法、匹兹堡睡眠质量指数(PSQI)评估术后两组患者疼痛程度、夜间睡眠质量,比较两组患者对护理满意度.结果 观察组患者术后1d的疼痛评分为(4.03±1.22)分,对照组为(6.52±1.66)分,差异有统计学意义(P<0.05).术后观察组患者PSQI得分为(3.76±1.03)分,低于对照组得分,差异有统计学意义(P<0.05).观察组患者护理满意度为95.18%,高于对照组的65.06%,差异有统计学意义(P<0.05).结论 多模式疼痛管理有助于缓解骨科术后患者疼痛,改善患者的睡眠质量,提高患者对护理工作的满意度,促进患者恢复健康.Objective To investigate the effect of multimodal pain management on pain level, prognosis and nursing satisfaction in patients after orthopedic surgery. Methods A total of 166 patients admitted to Department of Orthopedics,Hangzhou First People's Hospital from March 2017 to June 2018 were enrolled in the study. According to the random number table, the patients were divided into the control group and the observation group, with 83 cases in each group. The control group underwent routine care, and the observation group underwent multimodal pain management on the basis of the control group. VAS pain assessment method and Pittsburgh Sleep Quality Index (PSQI) questionnaire were used to evaluate the degree of pain and night sleep quality of the two groups after operation, and the nursing satisfaction of the two groups was compared. Results The pain score of the observation group was (4.03±1.22) on the 1st day after operation, and that of the control group was (6.52±1.66). The difference was statistically significant (P< 0.05). The PSQI score of the patients in the observation group was (3.76±1.03), lower than that of the control group with statistical significance (P< 0.05). The nursing satisfaction of patients in the observation group was 95.18%, higher than 65.06% in the control group with statistical significance (P< 0.05). Conclusions Multimodal pain management is helpful to relieve the pain of patients after orthopedic surgery, improve the sleep quality of patients, improve the satisfaction of patients with nursing work, and promote the recovery of patients' health.

关 键 词：疼痛 手术后 骨科 多模式疼痛管理 睡眠质量 满意度 

分 类 号：R47[医药卫生—护理学]