摘要
目的 探讨疼痛管理模式在急诊骨科创伤围手术期患者中的应用效果。方法 回顾性分析2022年9月至2024年9月龙岩市第二医院收治的86例急诊骨科创伤患者的临床资料。以干预模式为分组依据,将研究对象分为观察组(疼痛管理模式,43例)与对照组(常规管理模式,43例)。比较两组患者围手术期的疼痛程度和睡眠质量、恢复情况以及并发症发生情况。结果 两组患者术后疼痛评估量表(NRS)评分、匹兹堡睡眠质量指数(PSQI)评分均随着时间的延长而下降,与对照组相比,观察组患者术后1d、术后2d、术后3d的NRS评分和PSQI评分明显更低(P<0.001)。干预前,两组患者恢复质量量表(QoR-40)评分中舒适度、情绪状态、自理能力、疼痛、社交5个方面相比差异均不明显(P>0.05);干预后,两组患者QoR-40评分5个方面均升高,且与对照组相比,观察组患者舒适度、情绪状态、自理能力、疼痛、社交评分明显更高(P<0.05)。与对照组相比,观察组患者并发症总发生率明显更低(4.65%vs.18.60%,P<0.05)。结论 对于急诊骨科创伤围手术期患者,实施疼痛管理模式可有效缓解患者疼痛,改善患者睡眠质量,促进患者的恢复,降低并发症的发生风险。
Objective To explore the effectiveness of the pain management model in perioperative patients with emergency orthopedic trauma.Methods A retrospective analysis was conducted on the clinical data of 86 emergency orthopedic trauma patients treated at Longyan Second Hospital from September 2022 to September 2024.Based on the intervention model,the patients were divided into the observation group(pain management model,43 cases)and the control group(conventional management model,43 cases).The pain levels,sleep quality,recovery status,and incidence of complications in both groups were compared perioperatively.Results Postoperatively,the pain assessment scores(NRS)and Pittsburgh Sleep Quality Index(PSQI)scores for both groups showed a decreasing trend over time.Compared with the control group,the observation group exhibited significantly lower NRS and PSQI scores on postoperative day 1,day 2,and day 3(P<0.001).Prior to the intervention,no significant differences were found between the two groups in terms of the five aspects of the Quality of Recovery Scale(QoR-40)—comfort,emotional state,self-care ability,pain,and social functioning(P>0.05).After the intervention,the QoR-40 scores for all five aspects increased in both groups,with the observation group showing significantly higher scores for comfort,emotional state,self-care ability,pain,and social functioning compared to the control group(P<0.05).The overall incidence of complications was significantly lower in the observation group than in the control group(4.65%vs.18.60%,P<0.05).Conclusion Implementing the pain management model for perioperative emergency orthopedic trauma patients effectively alleviates pain,improves sleep quality,promotes recovery,and reduces the risk of complications.
作者
邓春英
尹小锋
DENG Chunying;YIN Xiaofeng(Department of Spine,Hand,Foot and Ankle Surgery,Longyan Second Hospital,Longyan 364000,China)
出处
《中华灾害救援医学》
2025年第5期537-540,共4页
Chinese Journal of Disaster Medicine
基金
龙岩市科技计划项目(2023LYF17087)。
关键词
创伤骨科
疼痛管理模式
疼痛程度
Emergency
Trauma orthopedics
Pain management model
Pain level
