基于FTS理念的疼痛管理护理路径干预在创伤骨科患者中的应用  

Intervention of pain management nursing pathway for orthopedic trauma patients based on FTS concept

作　　者：刘金厚 王纪阁 杨磊 张慧 LIU Jinhou;WANG Jige;YANG Lei;ZHANG Hui(Department of Orthopaedics,Henan Provincial People's Hospital,Henan Provincial Key Laboratory of Nursing Medicine,Zhengzhou University People's Hospital,Zhengzhou,Henan 450000,China)

机构地区：[1]河南省人民医院骨科、河南省护理医学重点实验室、郑州大学人民医院骨科,郑州450000

出　　处：《中国骨科临床与基础研究杂志》2024年第4期291-296,共6页Chinese Journal of Orthopaedic Clinical and Basic Research

摘　　要：目的探究基于快速康复外科(FTS)理念的疼痛管理护理路径干预在创伤骨科患者中的应用效果。方法选取2022年3月至2023年3月在河南省人民医院接受手术治疗的120例创伤骨科患者,随机分为对照组和观察组,每组各60例。对照组予以传统疼痛管理,观察组采取基于FTS理念的疼痛管理护理路径干预。比较两组术前和术后1、2、3 d患者疼痛数字分级量表(NRS)评分、WONG-BAKER面部表情量表评分及匹兹堡睡眠质量指数(PSQI)的差异,采用40项恢复质量量表(Qor-40)评估患者术后恢复情况,出院时对患者护理满意度进行调查。结果术后1、2、3 d,观察组患者疼痛数字分级法(NRS)、WONG-BAKER面部表情量表评分、PSQI较对照组更低(P<0.05);出院时观察组患者Qor-40评分和护理满意度均高于对照组,两组比较,差异有统计学意义(P<0.05)。结论将基于FTS理念的疼痛管理护理路径用于创伤骨科患者,可有效缓解术后早期疼痛,改善睡眠质量,促进术后康复,提升护理满意度。Objective To explore the application effect of pain management nursing pathway intervention based on the concept of fast track surgery(FTS)for orthopedic trauma patients.Methods A total of 120 orthopedic trauma patients who underwent surgical treatment in Henan Provincial People's Hospital from March 2022 to March 2023 were selected and randomly divided into a control group and an observation group,with 60 patients in each group.Patients in the control group received traditional pain management,while in the observation group,patients received pain management nursing pathway intervention based on the FTS concept.The differences in pain numerical rating scale(NRS),WONG-BAKER facial expression scale score and Pittsburgh sleep quality index(PSQI)at preoperation,and 1,2,3 days after the operation were compared between two groups,postoperative recovery were evaluated by the 40-item quality of recovery scale(Qor-40),and patients'satisfaction for nursing service was investigated at the discharge.Results At 1,2,3 d after surgery,NRS score,WONG-BAKER facial expression scale score and PSQI of the observation group were lower than those of the control group(P<0.05).At discharge,the Qor-40 score and nursing satisfaction of the observation group were higher than those of the control group,indicating statistical differences between the two groups(P<0.05).Conclusion For orthopedic trauma patients,intervention of pain management nursing pathway based on the FTS concept could effectively alleviate early postoperative pain,improve their sleep quality,promote postoperative recovery,and enhance nursing satisfaction.

关 键 词：创伤和损伤 矫形外科学 术后加速康复 疼痛管理 护理 

分 类 号：R683[医药卫生—骨科学] R473.6[医药卫生—外科学]