Study on the nurse-led pain management model in the Department of Traumatology and Orthopedics
骨科以护士为主导的疼痛管理模式研究

摘要

目的 对骨科以护士为主导的疼痛管理模式进行研究，以期能够为骨科护理人员开展工作带来一些帮助。方法 本次实验时间为2017年12月-2020年7月，实验对象为骨科患者，共计90例患者参与其中。本次实验采取编号分组，将奇数编号患者划分为对照组，将偶数编号患者划分为实验组，护理人员实施常规护理模式对对照组患者进行护理，实施疼痛管理模式对实验组患者进行护理，对两组患者疼痛评分、护理满意情况及止痛剂使用概率进行分析和对比。结果 对本次实验展开分析，实验组患者疼痛评分有着较大幅度的下降，分别为（3.6±0.5）分及（6.5±0.6）分，两组数据之间差异凸显，（p＜0.05）；对本次实验进行系统的分析，实验组患者护理满意度有着较大幅度的提升，分别为97.78%及86.67%，两组数据之间差异凸显，（p＜0.05）；展开分析本次实验，实验组患者止痛剂使用概率有着较大幅度的下降，分别为68.89%及22.22%，两组相关数据之间差异凸显，（p＜0.05）。结论 在骨科患者护理中疼痛管理模式的应用价值远远高于常规护理模式，以护士为主导的疼痛管理模式在降低患者疼痛评分及止痛剂使用概率、促进患者护理满意度提升方面效果较为理想。

Abstract

Objective: To study the nurse-led pain management model in the Department of Traumatology and Orthopedics, in order to bring some help to the nursing staff of the Department of Traumatology and Orthopedics.
Methods: The experiment time is from December 2017 to July 2020. The experimental subjects are orthopedic trauma patients, and a total of 90 patients participated. In this experiment, numbered grouping was adopted. The odd-numbered patients were divided into the control group and the even-numbered patients were divided into the experimental group. The nursing staff implemented the conventional nursing model to care for the patients in the control group, and implemented the pain management model to care for the patients in the experimental group. The pain scores, nursing satisfaction and the probability of analgesic use were analyzed and compared between the two groups.
Results: According to the analysis of this experiment, the pain scores of the patients in the experimental group have a significant decrease, respectively (3.6±0.5) points and (6.5±0.6) points, the difference between the two groups of data is prominent, (p<0.05); A systematic analysis of this experiment shows that the patient’s satisfaction with nursing care in the experimental group has been greatly improved, which were 97.78% and 86.67%, respectively. The difference between the two groups of data is prominent, (p＜0.05); expand the analysis of this experiment , The probability of using analgesics in the experimental group decreased significantly, 68.89% and 22.22%, respectively. There was a significant difference between the two groups of related data (p<0.05).
Conclusion  : The application value of the pain management model in the nursing of orthopedic trauma patients is much higher than that of the conventional nursing model. The nurse-led pain management model is more effective in reducing the patient's pain score and the probability of using analgesics, and promoting the improvement of patient care satisfaction ideal.