THỰC TRẠNG QUẢN LÝ ĐAU TRONG CHĂM SÓC NGƯỜI BỆNH PHẪU THUẬT TRƯỢT ĐỐT SỐNG THẮT LƯNG TẠI BỆNH VIỆN TRUNG ƯƠNG QUÂN ĐỘI 108 NĂM 2025

Abstract

Objective: To describe the current status of pain management in the care of patients undergoing surgery for lumbar spondylolisthesis at the 108 Military Central Hospital in 2025. Subject and method: A cross-sectional descriptive study of 200 patients with surgically indicated lumbar spondylolisthesis treated at the Department of Spine Orthopedic Trauma, 108 Military Central Hospital. Data were collected through postoperative patient interviews using the Strategic Clinical Quality Indicator of Postoperative Pain (SCQIPP) in combination with the Visual Analog Scale (VAS). Data were analyzed using SPSS version 25.0. Result: Pain levels showed a marked improvement before and after surgery. The proportion of patients experiencing severe pain decreased from 58.0% at admission to 0.5% at discharge, while the proportion of patients with mild pain increased from 2.0% preoperatively to 77.5% at discharge. All patients received pain management interventions, of whom 46.0% were treated with patient-controlled paravertebral analgesia. The majority of patients reported high satisfaction with postoperative pain management: 68.0% agreed and 30.5% strongly agreed that nurses provided a comfortable, quiet, and well-equipped ward environment. Conclusion: The results indicate that the current pain management model is appropriate and should be maintained and further optimized to improve the quality of patient care.