CAJ | 학술논문

目的：评价无痛病房管理模式在膝关节置换手术患者中的应用效果。方法：2013年8月-2014年3月收治实施膝关节置换手术患者100例，随机分成试验组(无痛病房组)和对照组(普通病房组)，试验组采用疼痛教育、疼痛评估、疼痛干预等无痛病房管理模式，对照组采用传统止痛方法，对两组患者术后4、6、8、12、24、48、72 h疼痛评分及患者对疼痛控制的满意度评分进行比较。结果：试验组术后疼痛评分明显低于对照组，且在疼痛治疗方式、护士对疼痛的照顾、止痛效果、平均住院日、对护理质量满意度方面明显高于对照组，差异有统计学意义(P＜0.05)。结论：无痛病房管理模式可明显提高膝关节置换手术患者的疼痛控制效果，提高患者满意度，促进膝关节置换术后的康复。
목적：평개무통병방관리모식재슬관절치환수술환자중적응용효과。방법：2013년8월-2014년3월수치실시슬관절치환수술환자100례，수궤분성시험조(무통병방조)화대조조(보통병방조)，시험조채용동통교육、동통평고、동통간예등무통병방관리모식，대조조채용전통지통방법，대량조환자술후4、6、8、12、24、48、72 h동통평분급환자대동통공제적만의도평분진행비교。결과：시험조술후동통평분명현저우대조조，차재동통치료방식、호사대동통적조고、지통효과、평균주원일、대호리질량만의도방면명현고우대조조，차이유통계학의의(P＜0.05)。결론：무통병방관리모식가명현제고슬관절치환수술환자적동통공제효과，제고환자만의도，촉진슬관절치환술후적강복。
Objective:To evaluate the application effect of painless ward management pattern in patients with knee joint replacement operation.Methods:100 patients with knee joint replacement operation were selected from August 2013 to March 2014.They were randomly divided into the experimental group(painless ward group) and the control group(general ward group). The experimental group was given painless ward management pattern,such as pain education,assessment of pain,pain intervention. The control group was given the traditional methods of pain.We compared the pain score at 4,6,8,12,24,48,72 hours after operation and the satisfaction rate of the two groups.Results:In the experimental group,postoperative pain score was significantly lower than the control group;pain treatment,nursing of pain,analgesic effect,average hospitalization days,the satisfaction of nursing quality were significantly higher than those in the control group;the difference was statistically significant(P<0.05).Conclusion:Painless ward management mode can significantly improve pain control in patients with knee joint replacement surgery,improve patient satisfaction,and promote the rehabilitation after total knee arthroplasty.