betway必威登陆网址 (betway.com )学报››2021,Vol. 42››Issue (3): 197-202.DOI:10.3969/j.issn.1004-7115.2021.03.009

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强化疼痛护理对急诊骨科创伤患者的Meta分析

肖云久, 肖洪玲, 张贻婷, 王倩, 陈美玲

  1. 安徽中医药大学护理学院,安徽 合肥 230031
  • 收稿日期:2020-11-06出版日期:2021-03-25发布日期:2021-09-01
  • 通讯作者:肖洪玲,教授,主要从事护理研究和护理教学工作,E-mail:xhl@ahtcm.edu.cn。
  • 作者简介:肖云久,硕士研究生,研究方向:护理教育,社区护理,E-mail:xyj@stu.ahtcm.edu.cn。

Meta-analysis of intensive pain nursing for trauma patients in emergency department of orthopedics

XIAO Yun-jiu, XIAO Hong-ling, ZHANG Yi-ting, WANG Qian, CHEN Mei-ling

  1. Nursing Department, Anhui University of Chinese Medicine, Hefei 230031, China
  • Received:2020-11-06Online:2021-03-25Published:2021-09-01

摘要:目的 通过Meta分析探讨强化疼痛护理对急诊骨科创伤患者的影响,为急诊创伤骨科患者的疼痛护理提供循证依据。方法 计算机检索中国生物医学数据库(CBM)、中国知网全文数据库(CNKI)、中国科技期刊数据库(VIP)以及万方医学文献数据库等中文数据库及英文数据库PubMed、Web of Science、Embased、Cochrane图书馆,并以手工检索和引文检索辅助查找强化疼痛护理对急诊创伤患者疼痛效果及睡眠质量的相关文献,由2名研究者对符合纳入标准的文献进行质量评价和资料提取,采用Revman 5.3软件进行统计分析,检索时间是自建库以来至2020年6月。结果 共纳入15项随机对照试验研究,共1 386例患者。Meta分析结果显示:实施强化疼痛护理干预后,实验组的疼痛评分(VAS)高于对照组,差异有统计学意义(P<0.05);实验组的睡眠质量评分(PSQI)高于对照组,差异有统计学意义(P<0.05);实验组的疼痛控制满意度以及疼痛教育满意得分高于对照组,差异有统计学意义(P<0.05);实验组的护理满意度高于对照组,差异有统计学意义(P<0.05)。结论 强化疼痛护理模式能够有效缓解急诊创伤骨科患者的疼痛,提高患者的睡眠质量及临床护理满意度,提升护理质量。

关键词:强化疼痛护理,急诊骨科创伤,疼痛,睡眠质量,满意度

Abstract:Objective: To explore the impact of intensive pain care on emergency orthopedic trauma patients through Meta-analysis, and to provide evidence-based evidence for the pain care of emergency orthopedic trauma patients. Methods: The computer search was made of Chinese and English databases such as CBM, CNKI, VIP Database and Wanfang Database, PubMed, Web of Science, Embased, Cochrane Library, and manual retrieval and citation retrieval was carried out to assist in finding relevant literature on the pain effect and sleep quality of intensive pain care for emergency trauma patients. Two researchers conducted a quality evaluation and data extraction on the research that met the inclusion criteria, and Revman 5.3 software was used for statistics Analysis; the retrieval time was from the establishment of the database to June 2020. Results: A total of 15 randomized controlled trials were included, with a total of 1386 patients. Meta-analysis results showed that after the implementation of intensive pain care intervention, the pain score (VAS) of the experimental group was higher than that of the control group, the sleep quality score (PSQI) score of the experimental group was higher than that of the control group, the pain control satisfaction and pain education satisfaction scores of the experimental group were higher than those of the control group, the nursing satisfaction of the experimental group was higher than the control group, and the difference was statistically significant (P<0.05). Conclusion: The enhanced pain nursing model can effectively relieve the pain of emergency trauma orthopedic patients, improve the patient's sleep quality, clinical nursing satisfaction and nursing quality.

Key words:intensive pain care,emergency orthopedic trauma,pain,sleep quality,satisfaction

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