Clinical application and effect analysis of multimodal analgesia nursing program in the nursing of patients after spinal surgery
多模式镇痛护理方案在脊柱外科术后患者护理中的临床应用及效果分析

摘要

目的 探究多模式镇痛护理方案在脊柱外科术后患者护理中的临床应用及效果。方法 本研究选取80例脊柱外科术后的患者，随机分为A组和B组，每组40例。A组采用传统疼痛评估方法，B组采用多模式镇痛护理方案。对比两组患者的疼痛评分、睡眠质量评分及焦虑情绪和护理满意度。结果 疼痛评分中，B组术后各时段的疼痛评分均低于A组，并有统计学意义（P<0.05）。睡眠质量评分中，B组在术后各时段的评分也显著低于A组（P<0.05），在护理满意度及焦虑情绪评分方面，B组满意度高于A组，焦虑情绪评分较A组明显改善（P=0.005），护理满意度总满意度分别为97.50%与80.00%，且B组患者的护理满意度显著增加。结论 多模式镇痛护理方案能有效降低脊柱外科术后患者的疼痛水平，改善睡眠质量，减轻患者焦虑情绪，并提高护理满意度，是一种值得推广的临床应用技术。

Abstract

Objective To explore the clinical application and effect of multimodal analgesia nursing programs in the postoperative care of patients after spinal surgery.
Methods In this study, 80 patients after spinal surgery were selected and randomly divided into Group A and Group B, with 40 cases in each group. Group A adopted the traditional pain assessment method, while Group B adopted the multimodal analgesic care plan. The pain scores, sleep quality scores, anxiety emotions and nursing satisfaction of the two groups of patients were compared.
Results In the pain score, the pain scores of group B at each postoperative period were lower than those of group A, and the difference was statistically significant (P<0.05). In the sleep quality score, the scores of group B at each postoperative period were also significantly lower than those of group A (P<0.05). In terms of nursing satisfaction and anxiety score, the satisfaction of group B was higher than that of group A, and the anxiety score was significantly improved compared with group A (P=0.005). The total satisfaction rates of nursing satisfaction were 97.50% and 80.00% respectively. Moreover, the nursing satisfaction of patients in group B increased significantly.
Conclusion   The multimodal analgesia nursing program can effectively reduce the pain level of patients after spinal surgery, improve sleep quality, alleviate patients' anxiety, and increase nursing satisfaction. It is a clinical application technology worthy of promotion.