链式疼痛管理模式在创伤性骨折患儿围手术期护理中的应用  

Application of chain pain management model in perioperative nursing of children with traumatic fractures

作　　者：华延晓 胡玲玲[1] 孙克明 王玲玲[1] 雷贞 常丹芍 刘琳[1] 王建丽[2] 魏峥 李志伟[3] Hua Yanxiao;Hu Lingling;Sun Keming;Wang Lingling;Lei Zhen;Chang Danshao;Liu Lin;Wang Jianli;Wei Zheng;Li Zhiwei(Department of Orthopedics,Children's Hospital Affiliated to Zhengzhou University/Henan Children's Hospital/Zhengzhou Children's Hospital,Zhengzhou 450000,China;Nursing Department,Children's Hospital Affiliated to Zhengzhou University/Henan Children's Hospital/Zhengzhou Children's Hospital,Zhengzhou 450000,China;Department of Anesthesia and Perioperative Medicine,Children's Hospital Affiliated to Zhengzhou University/Henan Children's Hospital/Zhengzhou Children's Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州大学附属儿童医院/河南省儿童医院/郑州儿童医院骨科,郑州450000 [2]郑州大学附属儿童医院/河南省儿童医院/郑州儿童医院护理部,郑州450000 [3]郑州大学附属儿童医院/河南省儿童医院/郑州儿童医院麻醉与围手术期医学科,郑州450000

出　　处：《中华现代护理杂志》2022年第20期2746-2750,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨链式疼痛管理模式在创伤性骨折患儿围手术期护理中的应用效果。方法采用便利抽样法,选取2020年5月—2021年5月于河南省儿童医院就诊并实施外科手术治疗的174例创伤性骨折患儿及其174名照护者作为研究对象,其中以2020年5—11月的85例患儿及其85名照护者作为对照组,采用常规疼痛管理模式进行干预;以2020年12月—2021年5月的89例患儿及其89名照护者作为试验组,采用链式疼痛管理模式进行干预。比较两组患儿的围手术期疼痛情况、心理应激状态以及患儿照护者对护理工作的满意度。结果入院后24 h和术后24 h,试验组患儿的FLACC疼痛评估量表评分低于对照组,差异有统计学意义(P<0.05);出院时,试验组患儿应激障碍近期反应量表得低于对照组,试验组患儿照护者对护理工作的满意度得分高于对照组,差异均有统计学意义(P<0.05)。结论链式疼痛管理模式应用于创伤性骨折患儿围手术期护理中能够减轻患儿围手术期疼痛,改善患儿心理应激状态,提高陪护者对护理工作的满意度,具有一定的临床应用价值。Objective To explore the application effect of chain pain management model in perioperative nursing of children with traumatic fractures.Methods Using the convenient sampling method,a total of 174 children with traumatic fractures and 174 caregivers who were treated in Henan Children's Hospital from May 2020 to May 2021 and underwent surgical treatment were selected as the research subjects.Among them,85 children and 85 caregivers from May to November 2020 were used as the control group,and they were given the conventional pain management model for intervention.A total of 89 children and 89 caregivers from December 2020 to May 2021 were selected as the experimental group,and they were given chain pain management model for intervention.The perioperative pain,psychological stress status and nursing satisfaction of caregivers were compared between the two groups.Results At 24 hours after admission and 24 hours after operation,score of FLACC Pain Assessment Scale of the experimental group was lower than that of the control group,and the difference was statistically significant(P<0.05).At discharge,the Short-term Response Scale of Stress Disorder in the experimental group was lower than that in the control group,and the satisfaction score of caregivers in the experimental group was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusions The application of chain pain management model in perioperative nursing of children with traumatic fractures can reduce perioperative pain,improve the psychological stress state of children and improve satisfaction of caregivers with nursing work,which has certain clinical application value.

关 键 词：儿童 创伤性骨折 围手术期 链式疼痛管理 心理应激状态 满意度 

分 类 号：R473.72[医药卫生—护理学]