Application value of manchester pain management model in postoperative care following arthroscopic anterior cruciate ligament reconstruction

Cao Qirui; Chen Ying

doi:10.26939/j.cnki.CN11-9353/R.2025.04.007

Abstract：Objective To explore the value of the Manchester pain management model(MPMM)in pain management for patients undergoing arthroscopic anterior cruciate ligament reconstruction(ACLR),providing evidence for clinical pain management.Methods A total of 98 patients who underwent ACLR at Lianyungang First People's Hospital from January 2021 to January 2024 were randomly divided into a control group(n=49,receiving conventional pain management)and an observation group(n=49,receiving MPMM-based nursing intervention together with conventional care).Pain levels were assessed at 6 h,12 h,24 h and 48 h postoperatively.Functional exercise compliance,knee function,range of motion,self-efficacy,negative emotions,and quality of life were compared before intervention and at 3 months post-intervention.Results The observation group showed significantly lower pain scores at 12 h,24 h and 48 h[(3.54±0.84),(3.01±0.72),(2.70±0.58),respectively]than the control group[(4.01±1.12),(3.68±0.89),(3.21±0.75),respectively](t=2.350,4.097,3.765,respectively;P<0.05).At 3 months post-intervention,the observation group had higher functional exercise compliance(68.02±7.72 vs.51.36±6.38),better knee function(85.02±8.40 vs.78.31±7.36),and improved self-efficacy(7.48±1.02 vs.5.85±0.71)(t=11.644,9.181,4.206,respectively;P<0.05).Additionally,the observation group exhibited superior quality of life and lower negative emotion scores(P<0.05).Conclusion The MPMM-based nursing can significantly alleviate postoperative pain,enhance functional exercise adherence,promote knee rehabilitation,reduce negative emotions,and improve quality of life in ACLR patients,demonstrating strong clinical applicability.