Objective To explore the effect of multimodal analgesia methods on postoperative pain in patients with calcaneal fracture. Methods Totally 96 cases of the patients with calcaneal fracture were divided into the control group and the observation group, there were 48 cases in each group. The control group was treated with conventional methods of postoperative analgesia, the observation group was given with the multimodal analgesia method. The VAS scores,functional exercises compliance and the incidence of adverse reaction for patients between the two group were observed and compared. Results The scores of pain at different time points in the observation group was 3.40 ± 0.41, 2.50 ± 0.75, 2.10 ± 0.84, 2.00 ± 0.52 respectively, while in the control group was 5.50 ± 0.35, 4.50 ± 0.55, 3.60 ± 0.62, 3.10 ± 0.45 respectively, the difference between the two groups was significant, t=6.85-11.62, P < 0.01. The good functional exercises compliance in the observation group was 87.5%(42/48), which was higher than the 68.8%(33/48) in the control group, the difference between the two groups was significant (χ2=7.571, P<0.05). The occurrence of nausea and vomiting was lower than the control group (χ2=4.800 and 4.360, P<0.05). Conclusion Multimodal analgesia method can improve analgesia effect obviously, improve functional exercises compliance, reduce the incidence of adverse reaction.

Objective:To understand the current status of discharge readiness for elderly patients with hip fractures and analyze its influencing factors.Methods:The convenient sampling method was used to select 180 elderly patients with hip fractures who were to be discharged from the hospital after surgery in the Orthopedic Department of a Class Ⅲ Grade A hospital in Shanghai from October 2018 to June 2019. General information questionnaire, Readiness for Hospital Discharge Scale (RHDS) and Quality of Discharge Teaching Scale (QDTS) were used for the questionnaire survey. Pearson correlation analysis was used to analyze the correlation between discharge guidance quality and discharge readiness, and multiple linear regression analysis was used to analyze the influencing factors of discharge readiness.Results:The standardized score of discharge readiness of elderly patients with hip fracture was (6.37±1.26) points, which was in the middle level. Multiple linear regression analysis showed that fracture location, education level, caregiver, age, chronic disease and complications were the influencing factors of the readiness for discharge of elderly patients with hip fractures ( P<0.05) . The total score of QDTS for elderly patients with hip fractures was (140.52±17.27) points, which was in the upper middle level. There was a statistically significant difference between the total scores of the required and obtained discharge guidance ( P<0.05) . The total scores of discharge readiness and discharge guidance quality were positively correlated ( P<0.05) . Conclusions:The discharge readiness of elderly patients with hip fracture is affected by many factors and positively correlated with the quality of discharge guidance. According to the current status of discharge readiness and discharge guidance quality of elderly patients with hip fractures, weak links should be identified, and various forms of transitional discharge preparation services should be carried out with the help of information technology.