四肢长骨骨折患者术后应用多学科协作式疼痛管理的临床效果观察  

Clinical Effect Observation on Multidisciplinary Collaborative Pain Management for Postoperative Patients with Long Bone Fracture of Extremities

作　　者：徐金玥 吕玉玲 XU Jinyue;LV Yuling(Orthopaedics Department,Area No.2,SUN Yat sen University the Eighth Affiliated Hospital,Shenzhen,Guangdong 518000)

机构地区：[1]中山大学附属第八医院骨二区,广东深圳518000

出　　处：《智慧健康》2024年第14期98-101,共4页Smart Healthcare

摘　　要：目的 观察四肢长骨骨折患者术后采取多学科协作式疼痛管理(pMDT)模式的效果。方法 抽取2021年6月—2022年6月于中山大学附属第八医院就诊的四肢长骨骨折手术患者65例为研究对象,采取红蓝信封法分设参比组(常规护理,n=32)、分析组(pMDT模式护理,n=33)。比较术后各项康复指标差异;比较两组患者术后1d、术后2d、术后3d疼痛程度[视觉模拟评分量表(VAS)]评分;比较干预前及干预1周后两组患者应对方式[采用简易应对问卷(SCSQ)]差异;比较干预1周后疼痛控制满意度[休斯顿疼痛情况调查表(HPOI)]差异。结果 与参比组比较,分析组住院时间、切口愈合时间、下床活动时间均显著更短,术后1d、术后2d、术后3d VAS评分显著更低(P<0.05);干预1周后分析组VAS评分及SCSQ消极应对评分更低(P<0.05);疼痛控制各项满意度均显著高于参比组(P<0.05)。结论 将pMDT模式应用于四肢长骨骨折术后护理中,能缓解患者术后疼痛,改善应对方式,促进术后康复,提高疼痛护理满意度,有较高临床应用价值。Objective To observe effect of multidisciplinary collaborative pain management(pMDT)model on postoperative patients with long bone fracture of extremities.Methods 65 patients with limb long bone fracture who were treated in the eighth Affiliated Hospital of Sun Yat sen University from June 2021 to June 2022 were selected and divided into two groups by red and blue envelope method,the reference group(routine nursing,n=32)and the analysis group(pmdt mode nursing,n=33);The pain degree[visual analogue scale(VAS)]scores at 1D,2D and 3D after operation were compared between the two groups;The coping styles of the two groups before and 1 week after the intervention were compared using the simple coping questionnaire(SCSQ);The satisfaction with pain control[Houston Pain Inventory(hpoi)]was compared after one week of intervention.Results compared with the reference group,the hospitalization time,wound healing time and ambulation time in the analysis group were significantly shorter,and the VAS scores at 1D,2D and 3D after operation were significantly lower;After one week of intervention,the VAS score and SCSQ negative coping score of the analysis group were lower;The satisfaction of pain control was significantly higher than that of the reference group(P<0.05).Conclusion pMDT model can alleviate postoperative pains,improve coping strategies,promote postoperative recovery,and increase nursing satisfaction degree of long bone fracture of extremities,which has high clinical application value.

关 键 词：四肢长骨骨折 术后疼痛 多学科协作式疼痛管理 

分 类 号：R473.6[医药卫生—护理学]