规范化疼痛管理模式在老年髋部骨折手术患者中的应用效果

doi:10.3969/j.issn.1006-9771.2017.07.024

摘要/Abstract

摘要： 目的观察规范化疼痛护理管理在老年髋部骨折手术患者中的应用效果。方法2015年1月至2016年6月入院行髋部骨折手术的老年患者(年龄>58岁) 75例,随机分为对照组37例和观察组38例;对照组采用常规疼痛管理,观察组予规范化疼痛管理。比较两组患者最强程度疼痛视觉模拟评分(VAS)和满意度计分。结果两组患者VAS评分术前无显著性差异(Z=0.845, P>0.05),术后观察组VAS评分显著低于对照组(Z=5.427, P<0.001)。观察组护理满意度评分显著高于对照组(t=21.346, P<0.001)。结论规范化疼痛管理能够显著地降低老年髋部骨折患者围术期疼痛,提高满意率,值得临床推广应用。

关键词: 髋部骨折, 老年, 规范化疼痛管理, 护理

Abstract: ObjectiveTo observe the effects of standardized pain management on old patients with hip fracture. MethodsFrom January, 2015 to June, 2016, 75 old patients (more than 58 years old) with hip fracture were randomly divided into control group (n=37) and observation group (n=38). The control group accepted routine pain management, while the observation group accepted standardized pain management. They were assessed with Visual Analogue Score (VAS) of the most intensive pain, and their scores for satisfaction were compared. ResultsThere was no significant difference in VAS between two groups before operation (Z=0.845, P>0.05). The VAS was significantly lower in the observation group than in the control group postoperatively (Z=5.427, P<0.001). The scores of satisfaction was more in the observation group than in the control group (t=21.346, P<0.001). ConclusionStandardized pain management can significantly reduce perioperative pain in old patients after hip fracture surgery, and improve the satisfaction.

Key words: hip fracture, aged, standardized pain management, nursing

中图分类号:

R473.6

赵克聪, 孙海燕, 范静宇, 张宝翠, 杨威, 刘克敏. 规范化疼痛管理模式在老年髋部骨折手术患者中的应用效果[J]. 《中国康复理论与实践》, 2017, 23(7): 848-850.

ZHAO Ke-cong, SUN Hai-yan, FAN Jing-yu, ZHANG Bao-cui, YANG Wei, LIU Ke-min. Effect of Standardized Pain Management on Old Patients after Hip Fracture Surgery[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(7): 848-850.

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