Establishment and application of procedural pain nursing care for elderly patients after total knee replacement
10.3760/cma.j.issn.1672-7088.2014.12.005
- VernacularTitle:老年患者全膝关节置换术围手术期程序化疼痛护理规程的建立与应用
- Author:
Yunxia LI
;
Yaping GONG
;
Jin QIU
- Publication Type:Journal Article
- Keywords:
Elderly patients;
Total knee replacement;
Procedural;
Pain nursing care
- From:
Chinese Journal of Practical Nursing
2014;30(12):19-23
- CountryChina
- Language:Chinese
-
Abstract:
Objective To establish the procedural pain nursing care protocols to improve the management of perioperative pain in elderly patients after total knee replacement,as well as to relief postoperative pain,and promote the rehabilitation.Methods 82 patients were randomly divided into the control group (45 cases) and the intervention group (37 cases).The control group was controlled by usual care,and the intervention group was offered with the standardized pain nursing care.The scores for postoperative pain,the satisfaction for analgesia,the complications associated with analgesia and the injection rate of Dolantin at 24,48,72h postoperatively were compared between two groups.Results The score for postoperative pain at rest in the intervention group was significantly lower than that in the control group at 24 h postoperatively,but there was no statistical difference at 48 h and 72 h postoperatively.Pain scores during passive activity at 24,48h,and 72h postoperatively were significantly lower in the intervention group when compared with that of the control group.The rates of side effects at 24,48,72h postoperatively in the intervention group were significantly lower than those in the control group.The injection rate of Dolantin in the control group were significantly higher than that in the intervention group.The score for both analgesia and life satisfactory in the intervention group was significantly higher than that in the intervention group at 24,48,72h postoperatively.Conclusions Procedural pain nursing care can reduce the pestoperative pain,complications and the injection rate of Dolantin in patients after total knee replacement.It can also improve elderly patients' satisfaction of analgesia and promote early recovery of their joint function.
