Objective:To explore the clinical effect of the integrated model of doctors, nurses and patients in postoperative pain nursing of patients with osteosarcoma.Methods:A total of 20 patients with osteosarcoma who underwent surgical treatment in the Department of Orthopedics of Henan Provincial People's Hospital from June 2018 to June 2019 were selected as control group, and 20 patients with osteosarcoma surgery from July 2019 to July 2020 were selected as observation group. Control group was given routine nursing, and observation group carried out the integrated nursing of doctors, nurses and patients. One day before discharge, the Satisfaction Questionnaire on Postoperative Pain Management by the Patient and the limb salvage surgery efficacy scoring system (Musculoskeletal Tumor Society, MSTS) were distributed to patients to compare patients' satisfaction with postoperative pain management, pain status and limb function between two groups.Results:The hospital stay of control group was (45.63±8.56) d, and that of observation group was (36.78±7.69) d, the difference was statistically significant ( t=7.868, P<0.01) . The most severe postoperative pain score of observation group was (3.94±1.29) , which was lower than that of control group, and the difference was statistically significant ( t=4.458, P<0.01) . The satisfaction score of observation group for the pain effect was (4.11±0.64) , which was higher than that of control group, and the difference was statistically significant ( t=4.921, P<0.05) . The total score of MSTS in observation group was (25.98±2.15) , and that of control group was (20.54±2.08) , and the difference was statistically significant ( t=8.132, P<0.01) . Conclusions:The integrated model of doctors, nurses and patients can improve the satisfaction of perioperative pain management of patients with osteosarcoma, reduce the level of pain, and improve the level of limb function of patients.

Objective To explore the method of improving the accuracy of the spinal nerve motor function assessment in the training of orthopedic specialized nurses.Methods The specialized quality team and evaluation guidelines were set up in March 2016. The nurses' qualification of spinal nerve motor function assessment was trained and evaluated. The nurses' accuracy of the spinal nerve motor function assessment before the method application (March 2016) was compared to after the method application (July 2016).Results After the evaluation, the nurses' accuracy of the spinal nerve motor function assessment was significantly improved from 77.6% (458/590)to 95.6%(526/550)(χ2=78.161,P<0.01).Conclusions In the orthopedic specialized nurse training, the establishment of the spinal nerve motor function evaluation method and its application can improve the nurses' accuracy of the spinal nerve motor function assessment.