Effect of whole course comprehensive nursing intervention on postoperative pain and life quality of patients with joint replacement
10.3760/cma.j.issn.1674-2907.2013.07.009
- VernacularTitle:全程综合护理干预对关节置换术患者术后疼痛及生活质量的影响
- Author:
Yan CUI
1
;
Tong-Mei DIAO
;
Jing-Hua ZHU
;
Qing-Xia GE
;
Xiao-Yan MA
Author Information
1. 277500,山东省滕州市中心人民医院骨外科
- Keywords:
Pain;
Quality of life;
Joint replacement;
Whole course comprehensive nursing
- From:
Chinese Journal of Modern Nursing
2013;19(7):770-775
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the effect of whole course comprehensive nursing intervention on postoperative pain of patients with joint replacement.Methods 116 cases who had joint replacement were randomly divided into the control group (n =57) and the intervention group (n =59).Both groups received conventional nursing before and after surgeries,and the intervention group received whole course comprehensive nursing intervention in addition,which included preoperative nursing intervention according to patient' s social background,standard of culture and psychological quality,whole course accompany during surgery,postoperative pain nursing intervention and follow-up after discharge.Intervention effect was compared between two groups.Results Pain degree was lower in the intervention group than in the control group.Pain score 8 hours after operation was (6.54 ± 1.65) in the intervention group and (9.63 ± 1.73) in the control group,and the difference was statistically significant (t =9.84,P ＜ 0.01).The first leaving bed time was (13.62 ± 4.28) h in the intervention group and (19.83 ±5.27) in the control group,hospitalization time was (14.17 ±2.43) d in the intervention group and (17.67 ± 3.51)d in the control group,treatment cost was (17.67 ± 3.51) yuan in the intervention group and (7 581.38 ± 55.24) yuan in the control group,and the differences were statistically significant (t =6.95,6.22,183.64,respectively ; P ＜ 0.01).Score of life quality was (5.92 ± 0.33) in the intervention group and (3.78 ± 0.25) in the control group,and the difference was statistically significant (t =39.45,P ＜ 0.01).Conclusions The implementation of whole course comprehensive nursing intervention for joint replacement patients can effectively relieve their postoperative pain,enhanced their pain tolerance,improve their comfort,quality of life and sleep quality,reduce postoperative complications,shorten average hospital stay,and raise their satisfaction and treatment effect,thereby improving the quality of holistic nursing care.
