International Journal of Nursing Research

Objective Exploring the application methods and effects of pain management in spinal orthopedic nursing care. Methods Seventy patients treated in the orthopedic spine department of our hospital from January 2023 to April 2025 were selected and randomly divided into a control group and a pain management group, with 35 cases in each group. The control group received routine care according to the treatment plan for spinal diseases, while the pain management group received additional pain management. The pain levels of both groups were compared, and the improvement in spinal function and quality of life was observed. Results The VAS scores of pain severity in the pain management group at 12 hours (2.02 ± 0.39 points), 2 days (2.12 ± 0.32 points), and 3 days after surgery (1.95 ± 0.45 points) were significantly lower than those in the control group (2.78 ± 0.35 points, 3.24 ± 0.51 points, 3.18 ± 0.42 points) (P<0.05). The JOA score of spinal function and KPS score of quality of life in the pain management group were significantly higher than those in the control group 4 weeks after surgery (P<0.05). Conclusion Implementing targeted pain management based on the individual needs of spinal orthopedic patients can effectively improve the analgesic effect, enhance spinal function and quality of life, and ensure reliable nursing outcomes.

Pain management; Spine; Orthopedics; Nursing management; Application methods