基于疼痛护理质量指标综合干预联合早期康复训练对骨科术后患者身心康复促进作用

The Promoting Effect of Comprehensive Intervention Combined with Early Rehabilitation Training Based on Pain Care Quality Indicators on the Physical and Mental Rehabilitation of Orthopedic Postoperative Patients

摘要: 目的：在骨科手术患者中，评估疼痛管理质量指标与护理干预相结合，并配合早期康复训练的应用效果。方法：本研究以接受骨科手术治疗的患者为研究对象，采用前瞻性随机对照设计，共纳入90例受试者，研究时间范围为2023年2月至2024年5月。根据随机数字表法将所有患者分为对照组与研究组，每组各45例。对照组接受常规护理干预及常规康复训练，研究组则在常规基础上，实施基于疼痛护理质量指标的系统化护理干预，并联合开展早期康复训练。两组均持续护理至出院。比较两组各项指标。结果：在术后1~5 d，研究组VAS显著低于对照组；出院时，研究组HAMA、HAMD评分均低于对照组，而ADL则高于对照组。研究组在护理期间的并发症发生率低于对照组(P < 0.05)。结论：在骨科手术患者中实施基于疼痛护理质量指标的护理措施，并配合早期康复训练，可能有助于减轻疼痛程度、改善心理状态、提高生活质量及降低术后并发症发生率。

Abstract: Objective: To explore the application effect of nursing intervention combined with early rehabilitation training under pain care quality indicators in orthopedic surgery patients. Method: Research subjects: Orthopedic surgery patients, with a total sample size of 90 cases selected from February 2023 to May 2024. They were divided into two groups (with a sample size of 45 for each group): a control group and a study group (based on a random number table method). The former received routine nursing and rehabilitation training; The latter adopts nursing intervention and early rehabilitation training under the quality index of pain care. Both groups received continuous care until discharge. Compare two sets of indicators. Results: It showed that the VAS score of the study group was lower than that of the control group from day 1 to 5 after surgery. At discharge, the HAMA and HAMD scores were lower than those of the control group, and the ADL score was higher than that of the control group. The incidence of complications during nursing was lower than that of the control group (P < 0.05). Conclusion: The implementation of nursing measures based on pain nursing quality index in orthopedic surgery patients, combined with early rehabilitation training, may help to alleviate the degree of pain, improve psychological state, improve the quality of life and reduce the incidence of postoperative complications.