Objective: To explore the effect of integrated nursing mode of medical and nursing combined with drug therapy on analgesia and nursing effect and stress response of orthopedic patients. Method: From January 2021 to January 2022, 90 patients who were hospitalized in the department of orthopedics in our hospital were selected and divided into 2 groups (45 cases in each). The control group was treated with conventional nursing mode combined with drug treatment, while the treatment group was treated with integrated medical and nursing care mode combined with drug treatment. The nursing effects of the two groups were compared. Results: Before nursing, IL-6 (43.80±3.62), IL-8 (74.23±5.51) , TNF-α (67.00±6.02) in the treatment group and L-6 (45.61±2.80), IL-8 (74.35±6.02) ,TNF-α (66.53±6.25) in the control group had no significant difference (t=2.019, 1.631, 1.461, p=0.245, 0.031.0.102); after nursing, IL-6 (22.84±1.15), IL-8 ( 44.50±3.80) ,TNF-α (43.30±5.38) in treatment group and L-6 (29.13±3.20), IL-8 (55.44±4.26) , TNF-α (56.82±6.34) in control group had significant difference (t=15.943, 12.005, 13.325, p=0.001, 0.005, 0.005). Before nursing, there was no significant difference in VOS score (7.23±2.22) and JOA score (13.86±0.57) between the treatment group and the control group (t=7.943, 9.536, p =0.564, 0.826). After nursing, the VOS score (3.23±0.22) and JOA score (3.23±0.22) of the treatment group were significantly different from those of the control group (4.36±0.89) and JOA score (19.41±0.69) (t=16.274, 5.379, p =0.005, 0.000). After treatment, the SDS score (33.47±4.52) and SAS score (32.46±4.61) of the treatment group were significantly different from those of the control group SDS score (37.16±4.29) and SAS score (38.24±4.56) (t=11.913, 9.357, P=0.035, 0.001). The total effective rate of the treatment group was 91.11% (41/45), which was significantly better than that of the control group 86.67% (39/45), with a significant difference (χ2=9.458, P=0.015). Before nursing, the treatment group NE (168.5±11.4), AD (103.4±0.2), CRP (61.5±6.3) compared with the control group NE (168.3±10.6), AD (102.2±0.3), CRP (61.7±7.2) had significant difference (t=1.568, 1.064, 1.263, p=0.012, 0.031, 0.015). After nursing, the NE (101.2±7.6), AD (87.2±4.3), CRP (38.2±5.1) of the treatment group were compared with those of the control group in NE (129.5±8.8), AD (91.8±3.4), CRP (47.6±4.3) had significant difference (t=12.018, 11.935, 10.881, p=0.001, 0.003, 0.001). Conclusion: The integrated medical care model refers to providing medical services to patients in the form of medical care and nursing groups; strengthening the connection between doctors, nurses and patients, and providing professional services to patients through communication and cooperation between doctors and nurses. It can relieve the pain of the patient, enhance the self-confidence of the patient and help the patient to recover as soon as possible, and improve the satisfaction of nursing.

Zeng Tao, Zeng XiaoFang, Huang Hua. Effects of Integrated Nursing Mode of Medical and Nursing Combined with Drug Therapy on Analgesia, Nursing Effects and Stress Response of Orthopedic Patients. Frontiers in Exercise Physiology (2023), Vol. 3, Issue 1: 10-22. https://doi.org/10.38007/FEP.2023.030102.

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