规范化疼痛教育在髋膝关节置换围术期患者中的应用

目的：分析人工关节置换围术期患者实施规范化疼痛教育的效果，探讨其作用和必要性。方法不同于传统的疼痛教育模式，采用规范化的疼痛教育和评估，包括以下内容：（1）入院后8 h内完成首次疼痛评估与疼痛教育；（2）术前每天对患者进行评估和强化；（3）术后疼痛评估与疼痛教育和突发轻度及轻度以上的疼痛等对行人工关节置换的患者在围手术期进行有计划的面对面教育，经过护患共同学习；（4）住院期间不断强化疼痛方面的知识与互动；（5）出院时给予疼痛方面的指导；（6）在坚持无痛的原则下，形成不间断的疼痛跟踪。结果患者在疼痛理念、疼痛认知等方面获得较大提高。术后疼痛评分、睡眠时间、功能康复锻炼、疼痛满意度等方面有显著改善。结论规范化疼痛教育有利于人工关节置换患者的疼痛理念改变，帮助患者主动减轻术后疼痛，对患者术后康复，提高患者满意度有明显促进作用。

Application of regularized pain education in perioperative patients of total hip/knee arthroplasty

Objective To analyze the effects of the regularized pain education on the patients undergoing the total hip or knee arthroplasty and to discuss its necessities .Methods Regularized pain evaluation, different from that of the traditional pain education mode was carried out as follows ： （1） The first evaluation and pain education was fulfilled in 8 hours after the hospitalization;（2） the daily evaluation was repeated and the education was strengthened;（3） the post-operative pain was evaluated and the face-to-face pain education was carried out right after the total hip /knee arthroplasty surgeries to teach the＆amp;nbsp;patients dealing with the mild or more severe pain .（ 4 ） The patients＆#39;comprehension on post -operative pain was exchanged and strengthened every day during hospitalization . （ 5 ） The guidence on pain administration was given at the time of discharging .（ 6 ） Pain status was followed up regularly after the discharging .Results The patients＆#39;knowledge , as well as the comprehension on postoperative pain was significantly strengthened and their post -operative pain score , sleeping duration , rehabilitation practicing level and pain comfortablity were all increased simultaneously .Conclusion Regularized pain education contributs to change patients comprehension on post -operative pain , also helps reducing the post -operative pain , promoting the post -operative rehabilitation and improving the patients＆#39;satisfaction in the perioperative period .