杜尚贤

南阳医学高等专科学校第一附属医院，河南南阳473000

临床路径在创伤骨科无痛病房疼痛管理中的运用效果评估

杜尚贤

南阳医学高等专科学校第一附属医院，河南南阳473000

目的探究临床路径在创伤骨科无痛病房疼痛管理的运用效果，以供临床参考。方法从2014年12月—2016年3月于该院就诊的创伤骨科患者中选取110例，建立无痛病房后通过动态化随机分组的方法将其分为2组，对照组55例创伤骨科患者采用常规护理方法进行疼痛管理，观察组55例创伤骨科患者采用临床路径方法进行疼痛管理，探究110例创伤骨科患者经不同方法治疗后疼痛评分以及护理满意度的差异性。结果在疼痛评分的比较中，观察组患者的结果明显低于对照组患者，在护理满意度的对比中，观察组患者的结果明显高于对照组患者，差异具有统计学意义（P＜0.05）。结论临床路径在创伤骨科无痛病房疼痛管理中具有一定的效果，能够有效缓解患者的疼痛感，提高患者对护理人员的护理满意度，从而进一步的提高患者的治疗效果。

临床路径；创伤骨科；无痛病房；疼痛管理；运用效果；评估

［Abstract］Objective To study the application effect of clinical path in the painless ward in the department of traumatic orthopedics for clinical reference and research.Methods 110 cases of patients in the department of traumatic orthopedics in our hospital from December 2014 to March 2016 were selected and divided into two groups with 55 cases in each by the dynamic random method after the painless ward was built，the control group adopted the routine nursing method for pain management，the observation group adopted the clinical path method for pain management，and the differences in the pain score and nursing satisfactory degree after different treatment methods were studied.Results The research results showed that the pain score in the observation group was obviously lower than that in the control group，and the nursing satisfactory degree in the observation group was obviously higher than that in the control group，and the difference had statistical significance（P＜0.05）.Conclusion The clinical path in the pain management in the painless ward in the department of traumatic orthopedics has a certain effect，which can effectively relieve the pains of patients，improve the nursing satisfactory degree of nursing staff thus further improving the treatment effect of patients，which can be applied and promoted.

［Key words］Clinical path；Department of traumatic orthopedics；Painless ward；Pain management；Application effect；Evaluation

随着社会的发展以及交通的逐渐进步，患有创伤的患者呈逐年上升趋势，严重影响了患者的生活质量。临床针对创伤骨科患者一般采用手术方法进行治疗，但是在术后会出现较多疼痛问题［1］，从而影响患者的治疗效果，进一步增加了患者的住院时间。因此，针对创伤骨科患者采用较好的方法进行护理干预是十分有必要的。……