CAJ | 학술논문

目的：构建骨科无痛病房护理工作模式，提升护士疼痛管理理念，使患者得到优质的无痛护理服务。方法：将356例患者随机分成两组，对照组（n=178）进行传统术后疼痛控制，实验组（n=178）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天实验组疼痛评分（2.4±1.0）分，对照组（5.1±0.9）分，差异有统计学意义（P<0.05）；实验组患者术后睡眠时间比对照组延长，差异有统计学意义（P<0.05）；实验组患者对疼痛控制及医护人员的满意度均高于对照组（P<0.05）。结论：创建骨科无痛病房，实施规范化的疼痛管理，提高了护士的疼痛管理知识和技能及患者满意度，患者得到了更优质的无痛护理服务。
목적：구건골과무통병방호리공작모식，제승호사동통관리이념，사환자득도우질적무통호리복무。방법：장356례환자수궤분성량조，대조조（n=178）진행전통술후동통공제，실험조（n=178）채용무통병방규범화적동통관리，비교량조환자수술후동통공제적효과。결과：술후제1천실험조동통평분（2.4±1.0）분，대조조（5.1±0.9）분，차이유통계학의의（P<0.05）；실험조환자술후수면시간비대조조연장，차이유통계학의의（P<0.05）；실험조환자대동통공제급의호인원적만의도균고우대조조（P<0.05）。결론：창건골과무통병방，실시규범화적동통관리，제고료호사적동통관리지식화기능급환자만의도，환자득도료경우질적무통호리복무。
Objective:To construct a mode of nursing in department of orthopedics painless ward and improve pain management concept of nurses, in order to improve painless nursing service quality. Method:356 patients were randomly divided into two groups. Control group(n=178)accepted traditional postoperative pain control and experimental group accepted the painless ward standardized pain management,compared effect of pain control between the two groups after operation. Result:Experimental group average pain score(2.4±1.0)was lower than control group(5.1±0.9)(P<0.05). Patients’ average hours of sleep time in experimental group was longer than those in the control group,and satisfaction is higher either. Experimental group patients satisfaction for pain control is higher than the control group(P<0.05). Conclusion:Creating a painless nursing ward department of orthopedics and implementing of standardized pain management Improves the nurses’ pain management knowledge and skills ,finally improves the patient satisfaction because high Painless nursing service quality.