关键词: 急性疼痛；快速康复；多学科协作；护士

Abstract: Objective: To explore the effect of nurse-led multidisciplinary team for pain management in fast track surgery of orthopedics. Methods: A non-synchronous controlled study was conducted by conveniently selecting 98 patients who underwent joint replacement in the Department of Orthopedics and Traumatology of our hospital from January 2017 to June 2018. Among them, 48 patients admitted from January 2017 to September 2017 were in the control group and 50 patients from October 2017 to June 2018 were in the observation group. Indicators including postoperative pain, exhaust and defecation time, average hospitalization days and patient satisfaction were observed and analyzed in order to determine the practical effect of multidisciplinary pain management mode. Results: In the multidisciplinary cooperative pain management mode, the pain intensity of patients in the observation group at 24 hours and 48 hours was lower than that of the control group, and the time of exhaust and defecation and hospitalization was shorter than that of the control group with patient satisfaction being higher than that of the control group. The difference between the two groups was statistically significant (P<0.05). Conclusion: The multidisciplinary cooperative pain management mode with nurses as leaders entails significant and useful effects on pain control, including shorter postoperative rehabilitation time and improved patient satisfaction.

Key words: acute pain; fast track surgery; multidisciplinary collaboration; nurses