Abstract: Objective To explore the application effect of the teaching mode of pain management after orthopedic surgery based on the integration of rational-virtual-real. Methods A total of 116 orthopedic nurses who practiced in Yantai Yeda Hospital from September 2023 to August 2024 were selected and divided into the study group and the control group according to the random number table method, with 58 in each group. The control group received the traditional teaching of orthopedic postoperative pain management, and the study group received the integrated teaching of rational-virtual and real-real on this basis. The scores of nurses'knowledge and attitude survey regarding pain (NKAS), core competence, stress, self-efficacy and teaching satisfaction were compared between the two groups. Results Before training, there was no difference in NKAS scores between the two groups (P>0.05). After training, the NKAS scores of the two groups were higher than control group, and the study group was higher than control group, the difference was statistically significant (P<0.05). Before training, the scores of pain management ability, clinical skills, pain emergency response ability, doctor-patient communication ability and information collection ability were compared between the two groups, and there was no statistical significance (P>0.05). After training, the scores of pain management ability, clinical skills, pain emergency response ability, doctor-patient communication ability and information collection ability of both groups were higher than before training, and the study group was higher than control group, the difference was statistically significant (P<0.05). The stress score of the study group was lower than control group, and the self-efficacy score of the study group was higher than control group, the difference was statistically significant (P<0.05). The total teaching satisfaction of the study group (96.55%) was higher than control group (86.21%), and the difference was statistically significant (P<0.05). Conclusion The teaching mode of pain management after orthopedic surgery based on the integration of rational-virtual-reality can effectively help practice nurses master pain management knowledge, improve their core competence, self-efficacy, relieve their pressure, increase teaching satisfaction and improve teaching quality.

Key words: orthopedics, pain management, rational-virtual-real integration, teaching mode