Applications of dialectical nursing of traditional Chinese medicine for orthopedic surgery patient with postoperative pain

Abstract

Objective To investigate the applications of dialectical nursing of tradition Chinese medicine for orthopedic surgery patients with postoperative pain. Methods A total of 129 orthopedic surgery patients in our hospital were randomly divided into two groups from September 2012 to April 2014, and 65 cases of observation group were treated with a model of dialectical nursing of tradition Chinese medicine while 64 cases of control group were treated with routine care, comparison of nursing outcomes, pain, adverse reactions, length of stay, hospital costs, patient satisfaction and quality of sleep between two groups. Results The scores of degree of pain in 24 h, 1-5 d most severe pain and SRSS in the experimental group [(2.19±1.47), (4.03±2.14), (14.79±2.83)] were significantly lower than those in the control group [(4.63±1.50), (6.42±2.65), (25.01±2.52)], and theses differences were statistically significant between the two groups(t=5.664, 6.873, 5.495; P<0.05). The rate of adverse reactions, hospitalized days and costs were respectively 9.23%, (13.35±3.35)d, (37 516.32±2 987.42) yuan in the experimental group, and were significantly lower than 25.00%, (17.21±4.50)d, (43 056.76±3 412.78) yuan in the control group, and the differences were statistically significant (χ2/t=4.321, 4.352, 3.726; P<0.05). The patients′ satisfaction was 98.46% in the experimental group, and was significantly higher than 76.56% in the control group, and the difference was statistically significant (χ2=4.569, P<0.05). Conclusions The model of dialectical nursing of traditional Chinese medicine significantly improves the orthopedic surgery patient′s suffering and nursing satisfaction, and reduce adverse reactions and the financial burden on patients. It is worthy of wider promotion and application. Key words: Pain; Orthopedic surgery; Chinese medicine nursing