Application of nurse-led pain management model in trauma orthopaedic nursing
以护士为主导的疼痛管理模式在创伤骨科护理中的应用

摘要

目的 研究分析创伤骨科护理中以护士为主导的疼痛管理模式的作用，以此帮助护理人员更好地开展护理工作。方法 本次实验跨越2020年6月至2022年4月这一时间段，研究人员对110例创伤骨科患者进行研究。将双盲对照原则作为本次实验所选患者的分组依据，研究人员在本次实验中对所选患者实施规范化治疗，并分别采用传统疼痛管理模式、以护士为主导的疼痛管理模式来完成对照组及实验组患者护理任务，记录对照组及实验组患者夜间睡眠质量、疼痛评分、镇痛泵及镇痛药物使用情况，并加以分析比较。结果 对照组及实验组所选患者夜间睡眠质量相关数据比较分析，睡眠良好率之间的差异是不容忽视的，（p＜0.05）；对照组及实验组所选患者疼痛评分分别为（5.24±0.41）分及（2.25±0.19）分，有着不容忽视的差异，（p＜0.05）；对照组及实验组所选患者中使用镇痛泵的人数分别为23人及15人，占比分别为41.82%及27.27%，组间数据比较分析，存在着不容忽视的差异，（p＜0.05）；对照组及实验组所选患者中使用凯纷的人数分别为46人及8人，使用率为83.64%、14.55%，使用特耐的人数分别为14人及4人，使用率为25.45%、7.27%，组间数据比较分析，差异是不容忽视的，（p＜0.05）。结论 在创伤骨科护理中以护士为主导的疼痛管理模式的应用价值显著高于传统疼痛管理模式。

Abstract

Objective To study and analyze the role of nurse-led pain management model in trauma orthopaedic nursing, so as to help nurses to better carry out nursing work.
Methods This experiment spanned the time period from June 2020 to April 2022, and researchers studied 110 trauma orthopedic patients. Taking the principle of double-blind control as the basis for the grouping of selected patients in this experiment, the researchers implemented standardized treatment for the selected patients in this experiment, and used the traditional pain management model and the nurse-led pain management model to complete the control. The nursing tasks of patients in the control group and the experimental group were recorded, and the nighttime sleep quality, pain score, analgesic pump and analgesic drug use were recorded in the control group and the experimental group, and were analyzed and compared.
Results Comparative analysis of data related to nighttime sleep quality of the selected patients in the control group and the experimental group showed that the difference in the rate of good sleep could not be ignored (p<0.05); the pain scores of the selected patients in the control group and the experimental group were (5.24) ±0.41) points and (2.25±0.19) points, there is a difference that cannot be ignored, (p<0.05); the number of patients who used analgesic pumps in the control group and the experimental group were 23 and 15, respectively. 41.82% and 27.27% of the patients in the control group and 27.27% of the patients in the experimental group. The comparison and analysis of the data between the groups shows that there are differences that cannot be ignored (p < 0.05). The ratios were 83.64% and 14.55%, 14 and 4 people were using the special resistance, and the usage rates were 25.45% and 7.27%. The data comparison between groups showed that the difference could not be ignored (p<0.05).
Conclusion   The application value of the nurse-led pain management model in trauma orthopaedic nursing is significantly higher than that of the traditional pain management model.