Construction and effect evaluation of pain control quality system in patients with total knee arthroplasty
10.3760/cma.j.issn.1674-2907.2019.23.013
- VernacularTitle:全膝关节置换患者疼痛质控体系的构建与效果评价
- Author:
Zhanping JIN
1
;
Mei XU
;
Yingchun ZHU
;
Haofen XIE
;
Fenfen HU
;
Huihui CHEN
;
Panpan YANG
;
Feiwu LIU
;
Jihong ZHANG
Author Information
1. 浙江省宁波市第一医院骨科
- Keywords:
Arthroplasty,replacement;
Knee joint;
Perioperative nursing;
Pain;
Quality control
- From:
Chinese Journal of Modern Nursing
2019;25(23):2966-2970
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To establish, implement and evaluate the pain control quality system for patients with total knee arthroplasty(TKA). Methods? Through literature search and interviews with medical staff and retrospective reviews of TKA cases in orthopedic wards, the problems in pain control of TKA patients during perioperative period were analyzed. According to the evidence-based practice guideline and the existing problems in pain nursing practice, the pain control quality system was constructed. From January to November 2018, 75 TKA patients in Orthopedic Department, Ningbo First Hospital were selected as the research objects and randomly divided into the control group (n=35) and the intervention group (n=40). The control group received the routine pain nursing mode, and the intervention group was managed by the pain control quality system. The static and dynamic VAS scores on the 1st, 3rd and 7th day after TKA, the incidence of analgesia-related complications and the quality of pain nursing were compared between the two groups. Results? There were significant statistical differences in static and dynamic VAS scores of knee joint between the two groups on the 1st, 3rd and 7th day after operation (P＜0.05). There was no statistical difference in the incidence of analgesia-related complications between the two groups (P＞ 0.05). The total score of TKA perioperative pain nursing quality in the intervention group was 84 (80, 85), while that of the control group was 56 (53, 58). The difference between the two groups was statistically significant (P＜0.01). Conclusions? The construction of pain control quality system can effectively improve the level of perioperative pain management of TKA, the quality of pain nursing care, and improve the perioperative pain of TKA patients.
