Pain management of patients with emergency trauma

Abstract

Objective To discuss the effect of pain management on patients with emergency trauma, so as to provide reference for its application. Methods A total of 175 patients with emergency trauma from June 2012 to June 2013 were chosen and randomly divided into the management group （85 cases） and the control group （90 cases）. The management group received intervention measures on pain management including pain education, psychological nursing, while the control group was given conventional treatment and care. SF-MPQ was used to evaluate patients＇ pain in both groups, Hamilton Anxiety Scale （HAMA） were used to evaluate the anxiety status of patients of two groups. Results With the increase of damage degree, pain score PRI, PPI, VAS and HAMA scores increased, and the differences were statistically significant （F = 3. 576,4. 798,4. 342, 5. 967, respectively; P 〈 0.05 ）. Pain score PRI, PPI, VAS and HAMA scores in 3 d after trauma were higher than those in 24 h after trauma in both groups, and the differences were statistically significant （ P 〈 0.05）. The scores in the control group were higher than those in management group, but the difference was not statistically significant （P 〉0.05）. The scores began to decline 7d after trauma. The scores were respectively （4.33± 1.82）, （2.88 ±1.42）, （3.94 ± 1.84）, （ 10. 16 ±2.78 ） in management group and （5.73 ±1.88 ）, （3.38 ±1.36）, （4.42 ± 1.87 ）, （ 12.36 ± 3. 17 ） in the control group, with statistically significant differences （t = 5. 097,4. 534,4. 043,3. 937, respectively; P 〈 0.05）. 14d after trauma, the scores were （2. 19 ± 1.00）, （ 1.32 ± 0.85 ）, （2.54 ±0.96）, （5.44 ± 2.84） in the management group and （ 3.36 ± 1.02）, （2.13 ± 1.18 ）, （3.18 ± 1.36）, （6.47 ± 2.48） in the control group, with statistically significant differences （ t =4.937, 4. 454, 4. 234,4. 634, respectively; P 〈 0.05 ）. There was positive correlation between pain score PRI, PPI, VAS and HAMA scores, with statistically significant differences （ P 〈 0.05 ）. Conclusions Pain management for patients with emergency trauma can effectively alleviate their symptoms and reduce the influence of anxiety, during which the nursing staff plays an important role. Key words: Pain; Emergency; Trauma; Nursing