Efficacy of standardized pain management in prognosis of postoperative pain and functional recovery after total hip arthroplasty
10.3760/cma.j.cn211501-20200411-01803
- VernacularTitle:疼痛规范化管理对人工髋关节置换术患者疼痛结局和髋关节功能的干预研究
- Author:
Lingyun SHI
1
;
Yuanyuan LIU
;
Yuechen ZHOU
;
Tuerxun ZULIPIYE·
;
Fan CAO
;
Yi YANG
Author Information
1. 新疆医科大学第一附属医院关节外科,乌鲁木齐 830054
- From:
Chinese Journal of Practical Nursing
2020;36(30):2331-2337
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate postoperative pain control and functional recovery of standardized pain management after total hip arthroplasty.Methods:A retrospective analysis between December 2018 and August 2019 included 100 patients who underwent unilateral total hip arthroplasty in department of arthroplasty at the First Affiliated Hospital of Xinjiang Medical University. After informed consent were obtained, the 100 subjects were randomly divided into the control group and the study group according to the inclusion and exclusion criteria, which totaled 50 patients in each group. Traditional postoperative pain management was used in control group and a self-made standardized pain management strategy was chosen in the study group. The prognosis of postoperative pain and the Harris Hip Score (HHS) were compared between the two groups.Results:Before intervention, there was no statistically significant difference in pain outcomes and HHS ( P>0.05). After standardized management of pain, the pain outcome scores of the intervention group were all higher than those of the control group, and the total pain outcome score of the intervention group (12.23±2.39) points was lower than that of the control group (14.50±2.18) points, with statistically significant difference ( t value was 4.962, P<0.001). All the Harris scale scores of the intervention group were higher than those of the control group, and the total score of the intervention group (73.61±5.06) was higher than that of the control group (64.98±7.35), with statistically significant differences ( t value was -6.652, P<0.001). Conclusion:Standardized pain management protocol can be fairly effective in the prognosis of postoperative pain and functional recovery and therefore improve patients′ satisfaction after total hip arthroplasty.