骨科病人疼痛原因分析及护理对策

目的：探讨骨科病人疼痛的原因，为其提供更好的整体护理。方法：对268例骨科病人的疼痛情况进行分析。结果：造成骨科病人疼痛的原因主要有创伤和术后伤口（40％），炎症引起疼痛（14．9％），神经性疼痛（11．7％），恶性肿瘤引起疼痛（10．2％），急性缺氧引起疼痛（10％），截肢后疼痛（8．4％）。其疼痛程度主要为Ⅰ～Ⅴ级，Ⅰ级为10．46％，Ⅱ级为25％，Ⅲ级为21．01％，Ⅳ级为17．2％，Ⅴ级为34％。结论：适当有效的护理对骨科病人疼痛能起到较好的疗效。

Causes of pain in orthopedic patients and nursing countermeasure

Objective：To understand the causes of pain in the orthopedic patients for providing better holistic nursing care.Methods：According to international McGiU pain questionnaire method, the pain status in 268 orthopedic patients from January 2006 to 2008 was analyzed.Results：The causes of pain in the orthopedic patients mainly were trauma and operative wound （40%）,inflammation （14.9%）,neuropathic pain （11.7%）,maligment tumor （10.2%）,acute hypoxia （10%） and postamputation pain （8.4%）.The pain severity mainly was grade Ⅰ-Ⅴ,in which,grade Ⅰ accounted for 10.46%, Ⅱ for 25%, Ⅲ for 21.01%, Ⅳ for 17.2% ,and Ⅴ for 34% respectively. Conclusion：Appropriate and effective nursing care has better curative efficacy on pain in the orthopedic patients.