创建骨科无痛护理病房的效果及研究

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于实验组疼痛评分（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。

Effects and Research about Creating a Painless Nursing Ward Department of Orthopedics

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.