ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-02-047 检验与方法 2026, 2(02): 185-188

患者-医护共治疼痛模式对老年创伤骨折术后康复的影响

山西省中西医结合医院

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摘要

目的 分析在老年创伤骨折术后康复期疼痛管理中应用从“医护主导”到“患者-医护共治”的疼痛管理模式的干预效果。方法 抽选80例病例,均为本院收治的老年创伤骨折术后康复期患者,纳入时间2024年1月到2024年12月,组间分组经随机数字表法,分成两组,40组病例纳入对照组予以常规疼痛护理,其余40组纳入观察组,在对照组基础上予以从“医护主导”到“患者-医护共治”的疼痛管理模式,评估两组患者各指标改善情况。结果 组间干预前数据相似(P>0.05),干预后3日、7日,观察组比对照组的疼痛感更低(P<0.05);干预7日后,与对照组相比,观察组疼痛控制满意度及康复依从性更高,焦虑、抑郁评分均低,自护能力更高(P<0.05);两组患者在术后并发症总发生率不存在显著性差异(P>0.05),但观察组以更低趋势呈现。结论 将从“医护主导”到“患者-医护共治”的疼痛管理模式引入老年创伤骨折术后康复期疼痛管理中,不仅可减轻术后疼痛感,提高疼痛控制满意度及康复依从性,而且能减轻负面情绪,提升自护能力,促进康复进程。

Abstract

Objective To analyze the intervention effect of the pain management model from “healthcare providerled” to “patient-healthcare provider collaborative management” in the postoperative rehabilitation period of elderly traumatic fractures. Methods Eighty cases were randomly selected, all of whom were elderly patients in the postoperative rehabilitation period of traumatic fractures admitted to our hospital. The study period was from January 2024 to December 2024. The patients were divided into two groups using a random number table method. 40 case groups were assigned to the control group and received conventioral pain management care. The remaining 40 case groups were assigned to the observation group, which implemented a pain management model transitioning from “healthcare provider-led” to “patienthealthcare provider collaborative management” on top of the control group's care. The improvement of various indicators between the groups was evaluated. Results The data before intervention were similar between groups(P>0.05), 7 days after the intervention compared with the control group, the observation group had highter strtisfaction with pain control and rehabilitation comphonce, lower anxiety and depvession scores, and higher self-care ability(P<0.05). There was no significant difference in the total incidence of postoperative complications between the two groups of patients(P>0.05), but the observation group showed a lower trend. Conclusion Introducing the pain management model from “healthcare provider-led” to “patient-healthcare provider collaborative management” into the postoperative pain management of elderly trauma fractures can not only reduce postoperative pain, improve pain control satisfaction and rehabilitation compliance, but also alleviate negative emotions, enhance self-care ability, and promote the rehabilitation process.

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[1]冯静.患者-医护共治疼痛模式对老年创伤骨折术后康复的影响[J].疾病预防与控制,2026,2(02):185-188.