规范化无痛病房管理在胸腰椎爆裂骨折围手术期中应用.docVIP

规范化无痛病房管理在胸腰椎爆裂骨折围手术期中应用 　　【摘要】 目的：观察规范化无痛病房管理在胸腰椎爆裂骨折开放手术围手术期中的应用效果。方法：共纳入研究病例80例，随机选取40例患者作为研究组，在围手术期采用无痛病房规范化管理模式；同时选取40例患者作为对照组，在围手术期采用常规护理管理。观察指标为疼痛视觉模拟评分（VAS）与休斯顿疼痛情况调查表（HPOI）。结果：入院时及手术当天，两组疼痛评分比较差异无统计学意义。术前1 d、术后3 d及出院时，研究组疼痛评分均明显低于对照组，比较差异有统计学意义（P0.05）。研究组疼痛满意度各项调查平均分数均较高，明显优于对照组，比较差异有统计学意义（P0.01）。结论：无痛病房管理模式在胸腰椎爆裂骨折围手术期中的应用是成功的，但需要继续完善管理，为患者提供更加专业的疼痛护理服务。 　　【关键词】 无痛病房； 胸腰椎爆裂骨折； 围手术期 　　【Abstract】 Objective： To observe the effect of standardized painless ward management applied in perioperation period of open operation for thoracolumbar burst fracture. Method： 80 cases were included in this study. 40 cases were selected randomly as study group， accepting standardized painless ward management in perioperation period. Meanwhile， 40 patients were selected as control group， accepting routine nursing management in perioperation period. The observation indexes were pain visual analogue scale （VAS） and the Houston pain questionnaire （HPOI）. Result： At the time of admission and the day of operation， there was no significant difference in pain score between the two groups. 1 day before operation， 3 days after operation and at discharge， pain score of study group was significantly lower than that of the control group （P0.05）. Mean score of pain satisfaction of study group was significantly higher than that of the control group， and the difference was statistically significant （P0.01）. Conclusion： The application of painless ward management in perioperation period of open operation for thoracolumbar burst fracture is successful. To provide more professional pain nursing service for patients， improvement of management is also necessary. 　　【Key words】 Painless ward； Thoracolumbar burst fracture； Perioperation period 　　First-author’s address： Chinese Medicine Hospital of Chuxiong， Chuxiong 675000， China 　　doi：10.3969/j.issn.1674-4985.2015.07.030 　　疼痛是骨科最常见的临床症状，是绝大多数患者接受手术治疗的直接原因。导致疼痛的原因较多，创伤、手术、术后固定、特殊体位及治疗、康复训练等均可引发疼痛[1]。国际慢性病疼痛协会（the National Chronic Pain Outrea