Analysis of effect of high-quality nursing on pain of emergency orthopedic trauma patients and related factors affecting postoperative pain

摘要

Objective: The purpose of this study is to analyze the influencing factors of postoperative pain in patients presenting with emergency orthopedic trauma, and to determine the effect of high-quality nursing on pain. Methods: In this prospective study, 78 emergency orthopedic trauma patients were randomized into the research group for high-quality nursing and the control group for routine emergency nursing. The two groups were compared with respect to pain degree, pain resolution time, related clinical indexes, pre- and post-treatment joint range of motion (ROM) and psychological state, as well as nursing satisfaction and complications. Univariate analysis and Logistic regression were carried out to analyze the influencing factors of pain following fractures. Results: Compared with before operation (at baseline), the visual analogue scale (VAS) scores decreased gradually from 1 to 7 days postoperatively in both groups, and were lower in the research group than in the control group in the same time period (all P0.05). Logistic regression analysis revealed that male, anxiety and/or depression as well as general family support were the major factors affecting postoperative pain in patients with traumatic fractures (P0.05). Patients in the research group showed significantly less pain resolution time and evidently shorter time of hospitalization and fracture healing than the control group (all P0.01). Compared with the baseline, ROM scores increased significantly in both groups after intervention, and were higher in the research group than in the control group; Hamilton anxiety (HAMA) and Hamilton depression (HAMD) scores reduced remarkably in the two series, and were even lower in the research group (all P0.05). In comparison with the control group, the nursing satisfaction was higher and the incidence of complications was lower in the research group (both P0.05). Conclusions: Gender, psychological state and family supportive attitudes have certain effects on postoperative pain degree of emergency orthopedic trauma patients. High-quality nursing can relieve postoperative pain degree and adverse psychological state of patients, with fewer complications, higher satisfaction and shorter hospitalization time.