| Perioperative pain is a problem that the orthopedic medical staff andpatients often have to face with. The nurses, who spent most of their workingtime with the patients, are critical persons to take effective pain managementand to improve the patients’ satisfaction level.“Painless ward” is used to takescientifical and individual analgesia methods for patients, to decrease thesurgery pain to the bottom, and therefore it can increase patients’ comfort,speed up the functional rehabilitation,and improve life quality. On the basis ofthe knowledge about orthopaedic nurses’pain management and patients’satisfaction, this topic trys to establish “Painless ward” in order to analyze theeffect that nurses’ cognition level of pain has on the patients’ pain status andpatients’ satisfaction in the form of lecture, training and clinical teaching, whichmay provide some help to carry full pain management. This study is divided intothree parts.The first part:investigation on the present pain management situationQuestionnaire survey about the pain cognition was carried out on80orthopaedic nurses. The results appear that their attitudes towards painmanagement is positive, but they are lack of general knowledge, knowledge ofdrug evaluation, drug analgesia, and integrated application and so on.180orthopaedic surgery patients’ pain degree and their pain satisfaction were alsoinvestigated during the period in hospital. Results show that the pain degreedidn’t get effective controlled, which suggests that we should strengthen themanagement of pain, care about patients actively, emphasize the patients onhealth education,carry out targeted training. The painless management scheme should be carried out with a combination of theory and practice to utmost easethe pain of patients, to improve patients’ satisfaction.The second part： implement of “Painless ward” patternOrthopedic carried out the painless ward management pattern for the statusof medical personnel and nurses’ lack of pain knowledge and patients’ high paindegree. First, take out pain management lasting3months on nurses. Trainingwas performed by the way of lecture. The lecture performed by four experts whoare familiar with pain management and full of teaching experience was taught at2:30-5:30pm in which time the amount of work was relatively small. Second,train the patients with positive health training every morning. The result shows:the lecture was of pertinence and practicability; Nursing staff activelyparticipate in with attendance for more than80%every time; at the same time,clinical education improved the nurses’ ability to applying what they had learntto the practise, and made the patients to accept new analgesic concept.The third part： Evaluation of “Painless ward” patternWe use the same questionnaire for nurses pain cognition. The resultsshowed: knowledge about the pain cognition had significantly improved afterthe implement of painless ward pattern. Pain and satisfaction conditions of the178patients after orthopaedic surgery were investigated in the second stage ofsurgery. Results showed that postoperative patients have experienced varyingdegrees of pain, the patients’ pain treatment satisfaction, pain care satisfactionin hospital and satisfaction for pain relief were statistically significant. Fiveindicators were resulted before and after the “Painless ward” pattern.Without theworst level of painlevel after the operation (Z=1.212, P=.225), changes of theother four indicators (the current pain degree, pain degree in the past24hours,pain degree before surgery and anticipated postoperative pain degree)were statistically significant (P <0.05). So we have the following conclusions:the painless ward management measures was practical and effective.Improvement of the pain cognitive level could help ease the pain of patients andimprove the level of patient satisfaction. |
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