Case management of pain in patients with tibial plateau fracture

Abstract

Objective To discuss the case management of pain in patients with tibial plateau fractures. Methods Chose a total of 60 patients with fracture of tibial plateau during January to December 2013 in our hospital as the research objects, all patients had fresh fractures and accepted fracture reduction with plate fixation. According to random number table method, selected patients divided into observation group and control group, 30 cases each of group. Pain in the control group accepted routine treatment and postoperative nursing, while patients of the observation group underwent step-by-step implementation of case management based on the the intervention of control group: assessed the level of pain, patient′s perception of pain and satisfaction of pain control when patients admitted, 1 h before operation, came back unit, 24 h, 48 h, 72 h after operation. Results After nursing intervention, the score of pain assessment were (3.21±1.89), (2.85±1.85), (1.85±1.78) in the observation group apparently lower than (4.42±2.15), (3.88±2.03), (2.67±2.31) of control group (t=3.265, 2.896, 2.798; P<0.05); the recognition of pain among patients of observation group improved dramatically (P<0.05); in the observation group, the patients acquired (14.68±3.24), (4.69±1.57), (4.62±3.28), (1.69±0.87) for the total sensation and affection scores of pain control, VAS score and PPI score better than (22.43±5.36), (8.45±2.54), (6.49±2.65), (3.66±1.25) of control group (t=8.365, 6.154, 5.126, 7.458; P<0.01). Conclusions Case management nursing intervention can significantly reduce the level of pain in patients with fracture of tibial plateau, increase awareness of pain and patient′s satisfaction to pain control. Key words: Tibial plateau fracture; Pain; Case management