疼痛量化分级管理模式在多发伤合并盆骨骨折中的应用效果  

Application of Pain Quantification and Grading Management Model in Multiple Injuries Complicated with Pelvic Fractures

作　　者：郭晓瑜 左婷婷 GUO Xiao-yu;ZUO Ting-ting(Oral and Maxillofacial Surgery,Joint Surgery,Affiliated Hospital of Yan'an University,Yan'an,Shaanxi,716000)

机构地区：[1]延安大学附属医院口腔颌面外科,陕西延安716000 [2]延安大学附属医院关节外科,陕西延安716000

出　　处：《医学临床研究》2022年第4期495-499,共5页Journal of Clinical Research

摘　　要：【目的】探讨基于疼痛量化评估的分级疼痛管理模式在多发伤合并盆骨骨折中的应用效果。【方法】收集2020年2月至2021年5在本院骨科住院的104例多发伤合并盆骨骨折患者为研究对象,根据随机数字表法将其分为对照组和观察组,每组52例。对照组给予常规护理,观察组给予基于疼痛量化评估的分级疼痛管理模式。比较两组患者对疼痛相关知识认知程度,干预前后视觉模拟疼痛评分(Visual Analog Scales,VAS)、舒适状况量表(General Comfort Questionnaire,GCQ)评分、匹兹堡睡眠质量指数量表(Pittsburgh Sleep QualityIndex,PSQI)评分。【结果】观察组患者镇痛药物对伤口愈合影响、镇痛药物成瘾性、镇痛药物不良反应、术后镇痛方法、疼痛药物应用的时机、镇痛药物对身体影响、疼痛忍受情况及术后出现疼痛正常等疼痛知识认知率高于对照组,差异具有统计学意义(P<0.05)。干预前,两组疼痛评分、各项GCQ评分比较,差异均无统计学意义(P>0.05);干预后1周,观察组疼痛评分处于低水平,生理、心理、社会环境及文化等GCQ评分高于对照组,差异具有统计学意义(P<0.05);观察组入睡时间、睡眠质量、睡眠效率、睡眠时间及日间功能等PSQI评分低于对照组,差异具有统计学意义(P<0.05)。【结论】在多发伤合并盆骨骨折中应用基于疼痛量化评估的分级疼痛管理模式,能减轻患者在治疗期间的疼痛感,缓解躯体不良症状,提高睡眠质量,促进患者快速康复。【Objective】To explore the effect of graded pain management model based on quantitative evaluation of pain in multiple injuries complicated with pelvic fractures.【Methods】A total of 104 patients with multiple injuries complicated with pelvic fractures hospitalized in the Department of orthopedics of our hospital from February 2020 to May 2021 were collected as the research object.They were divided into control group and observation group according to the random number table method,with 52 cases in each group.The patients in the observation group were given pain management based on the grading of routine nursing,and the patients in the control group were given pain management based on the grading of routine nursing.The cognitive level of pain related knowledge,visual analog scales(VAS),general comfort questionnaire(GCQ)and Pittsburgh sleep quality index(PSQI)before and after intervention were compared between the two groups.【Results】The cognitive rate of pain knowledge in the observation group was significantly higher than that in the control group(P<0.05);Before intervention,the pain score and GCQ scores of the two groups had no statistical significance(P>0.05);One week after the intervention,the pain score in the study group was at a low level,and the GCQ scores of physiology,psychology,social environment and culture in the study group were higher than those in the control group(P<0.05);The PSQI scores of sleep time,sleep quality,sleep efficiency,sleep time and daytime function in the observation group were significantly lower than those in the control group(P<0.05).【Conclusion】The application of graded pain management mode based on pain quantitative evaluation in multiple injuries complicated with pelvic fractures can reduce the pain feeling of patients during treatment,alleviate adverse physical symptoms,improve sleep quality and promote rapid recovery of patients.

关 键 词：多处创伤/并发症 骨盆骨/损伤 骨折/并发症 疼痛 

分 类 号：R63[医药卫生—外科学]