CAJ | 학술논문

目的探讨按无痛病房规范化疼痛管理对创伤骨科患者手术后疼痛控制的效果。方法将2个骨科病区入组的112例手术患者按住院号的单双分为对照组47例和研究组65例，对照组进行传统术后疼痛控制，研究组采用无痛病房规范化的疼痛管理，比较两组患者手术后疼痛控制的效果。结果术后第1天研究组患者疼痛评分(2.51±1.37)分，对照组(3.79±1.50)分，差异有统计学意义(t=4.682，P＜0.01)；研究组患者术后夜间睡眠时间比对照组延长，差异有统计学意义(t分别为5.734，5.074，2.711，2.194，P＜0.05)，患者对疼痛控制满意度高于对照组(Z分别为-5.839，-6.34，-4.50，-7.23，-6.88，P＜0.01)。结论在创伤骨科按无痛病房规范化的疼痛管理能降低患者术后疼痛，提高患者住院满意度和舒适度。
목적 탐토안무통병방규범화동통관리대창상골과환자수술후동통공제적효과。방법 장2개골과병구입조적112례수술환자안주원호적단쌍분위대조조47례화연구조65례，대조조진행전통술후동통공제，연구조채용무통병방규범화적동통관리，비교량조환자수술후동통공제적효과。결과 술후제1천연구조환자동통평분(2.51±1.37)분，대조조(3.79±1.50)분，차이유통계학의의(t=4.682，P＜0.01)；연구조환자술후야간수면시간비대조조연장，차이유통계학의의(t분별위5.734，5.074，2.711，2.194，P＜0.05)，환자대동통공제만의도고우대조조(Z분별위-5.839，-6.34，-4.50，-7.23，-6.88，P＜0.01)。결론 재창상골과안무통병방규범화적동통관리능강저환자술후동통，제고환자주원만의도화서괄도。
Objective To investigate effect of postoperative pain control in trauma patients who are in painless ward with standardized management. Methods Patients were divided into two groups randomly according to their ID number. One was study group, another was control group. Study group received painless ward standardized management. Control group received routine postoperative pain control. Compare the effect of postoperative pain control of two groups. Results In the first day after operation, pain score of study group and control group were (2.51 + 1.37) and (3.79 + 1.50) respectively, the difference was statistically (t =4.682,P＜0. 01) ; Night sleeping time of study group was longer than control group, the difference was statistically significant (t = 5.734,5. 074,2.711,2.194, P ＜ 0.05), satisfaction degree was higher in study group (Z =-5.839,-6.34,-4.50,-7.23,-6.88,P＜0.01). Conclusions Standardized pain management in painless ward can reduce postoperative pain and increase satisfaction and comfort of patient.