The value of pain management in spinal orthopedic care
疼痛管理在脊柱骨科护理中的价值

摘要

目的 为进一步改善脊柱骨科术后患者疼痛情况，减轻患者痛苦，促进恢复，本课题将围绕疼痛管理在脊柱骨科患者中的应用价值开展论述。方法 回顾性分析近五年收治脊柱骨科患者临床资料，依据实施护理管理方案的差异均分两组，即观察组（疼痛管理）、对照组（常规护理管理），每组患者人数40例，归纳实验涉及相关数据指标，对比分析差异表现，观察应用效果。结果 行不同管理后，观察组疼痛评分：管理后3天（3.41±1.53）、管理后7天（1.89±1.54），心理状态：焦虑评分（11.67±1.52）、抑郁评分（11.86±1.24）均低于对照组，围术期指标：术后下床活动时间（43.34±1.20）d、住院时间（8.21±1.02）d、并发症发生率（0例，0.00%）以及护理质量评分（96.64±3.89）均优于对照组，生活质量评分：精神健康（71.32±3.16）、情感职能（72.16±3.12）、生理职能（70.31±3.09）、总体健康（73.28±3.42）各项指标均高于对照组，实施统计学分析P值均可见﹤0.05，有确切可比性。结论 脊柱骨科护理过程中采纳疼痛管理可提高护理质量，改善患者疼痛情况，更利于缓解不良情绪，优化手术指标，进一步促进患者术后恢复，对生活质量的提升显示积极辅助效用，可作为有效护理管理措施推广。

Abstract

Objective In order to further improve the postoperative pain, reduce the pain and promote the recovery, this topic will discuss the application value of pain management in spinal orthopedic patients.
Methods retrospective analysis of nearly five years treated spinal orthopedic patients clinical data, according to the differences of the implementation of nursing management scheme evenly divided into two groups, namely observation group (pain management), control group (routine nursing management), each group of patients in 40 cases, inductive experiment involves related data indicators, comparative analysis differences, observe the application effect.
Results After the different management, Pain scores in the observation group: 3 days (3.41 ± 1.53) and 7 days (1.89 ± 1.54), Psychological status: anxiety score (11.67 ± 1.52) and depression score (11.86 ± 1.24) were lower than that of the control group, Perioperative index: postoperative time of ambulation (43.34 ± 1.20) d, length of hospitalization (8.21 ± 1.02) d, complication rate (0 cases, 0.00%) and the quality of care score (96.64 ± 3.89) were better than the control group, Quality of life score: mental health (71.32 ± 3.16), emotional function (72.16 ± 3.12), physiological function (70.31 ± 3.09), overall health (73.28 ± 3.42) were higher than the control group, All statistical analysis P values were 0.05, It is exactly comparable.
Conclusion   The adoption of pain management in the process of spinal orthopedic nursing can improve the quality of nursing, improve the pain of patients, more conducive to relieve bad mood, optimize the surgical index, further promote the postoperative recovery of patients, and show positive auxiliary utility to the improvement of quality of life, which can be promoted as effective nursing management measures.