Effect of doctor-nurse associated pain intervention on postoperative patient-controlled analgesia of patients with lower limb fractures and their negative emotions

Abstract

Objective To study doctor-nurse associated pain intervention effect on postoperative patient-controlled analgesia of patients with lower limb fractures and their negative emotions. Methods One hundred and twenty patients with lower limb fractures who used the postoperative fentanyl patient-controlled analgesia method in the author's hospital from June 2015 to June 2016 were selected with a convenience sampling method. The patients from June 2015 to December 2015 were included into the control group (n=60). The patients from January 2016 to June 2016 were included into the observation group (n=60). The patients in the control group were cared with the postoperative routine nursing. The patients in the observation group were cared with the postoperative doctor-nurse associated pain nursing intervention. The visual analogue pain (VAS) and the Ramasy sedation score of patients in the two groups who were at admission, 6 h, 24 h, 48 h and 72 h after surgery, discharged from hospital were evaluated and compared. The negative emotions of patients in the two groups one day before operation and three days after operation were evaluated with the self-rating anxiety scale (SAS) and the self-rating depression scale (SDS). The complications during patient-controlled analgesia in the two groups were recorded. Results The VAS score and the Ramasy sedation score of patients were significantly different at different time points (Ftime=145.263, 132.561; P<0.05). The VAS score and the Ramasy sedation score of patients were significantly different between the two groups (Fgroup=122.451, 98.126; P<0.05). There was a significant effect between time and group (Finteraction=102.454, 118.259; P<0.05). The SAS score and the SDS score were significantly lower in the observation group compared to the control group (P<0.05). The incidence of nausea and vomiting, the incidence of dizziness and the amount of sufentanil after surgery in the observation group were significantly lower than those in the control group (P<0.05). The satisfaction score of the patients in the observation group was higher compared to the control group (P<0.05) . Conclusions The doctor-nurse associated pain intervention can improve postoperative anxiety and depression of patients with lower limb fractures, reduce the postoperative pain, contribute to the postoperative sedation, reduce the dose of postoperative anesthesia medication and complications, enhance patient-controlled analgesia pump effects and patients' satisfaction. Key words: Fractures, bone; Pain intervention; Doctor-nurse association; Patient-controlled analgesia; Negative emotions