Practice of pain management in the department of critical care medicine based on evidence-based nursing
基于循证护理的重症医学科疼痛管理实践

摘要

目的 探讨循证护理在重症医学科（ICU）患者疼痛管理中的应用价值，优化干预策略，减轻疼痛，提升管理规范化水平。方法 选取2023年-2025年本院ICU 96例疼痛患者，随机分为对照组与实验组各48例。对照组实施常规疼痛护理，实验组采用循证护理模式，制定个性化管理方案，比较两组疼痛评分、疼痛缓解时间及镇痛药物使用量。结果 实验组干预后24h、48h、72h疼痛评分显著低于对照组（t=9.325、10.157、11.023，均P<0.001）；疼痛缓解时间短于对照组（t=7.864，P<0.001）；镇痛药物使用量少于对照组（t=6.538，P<0.001）。结论 循证护理可精准缓解ICU患者疼痛，缩短疼痛缓解时间，减少镇痛药物使用，优化管理质量，具有重要临床推广价值。

Abstract

Objective To explore the application value of evidence-based nursing in pain management for patients in the Intensive Care Unit(ICU),optimize intervention strategies, alleviate pain, and improve the standardization of management.
Methods A total of 96 pain patients from the ICU of our hospital between 2023 and 2025 were selected and randomly divided into a control group and an experimental group, with 48 cases in each group. The control group received conventional pain care, while the experimental group adopted an evidence-based nursing model and developed personalized management plans. The pain scores, time to pain relief, and analgesic medication usage were compared between the two groups.
Results After intervention, the experimental group showed significantly lower pain scores at 24 hours,48 hours, and 72 hours compared to the control group (t=9.325,10.157,11.023, all P<0.001); shorter time to pain relief (t=7.864, P<0.001); and reduced analgesic medication usage (t=6.538, P<0.001).
Conclusion   Evidence-based nursing can precisely alleviate pain in ICU patients, shorten the time to pain relief, reduce analgesic medication usage, and improve management quality, demonstrating significant clinical promotion value.