中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
36期
4410-4412
,共3页
扁桃体切除术%镇痛%疼痛,手术后%病人满意度
扁桃體切除術%鎮痛%疼痛,手術後%病人滿意度
편도체절제술%진통%동통,수술후%병인만의도
Tonsillectomy%Ache control%Pain,after operation%Patient satisfaction
目的 探讨超前镇痛对扁桃腺切除术后镇痛的效果及满意度.方法 选择扁桃腺切除术的患者103例,随机分为实验组53例和对照组50例.两组患者术前由责任护士指导使用0～10疼痛数字量表评估疼痛程度,对照组术后在患者提出需要镇痛药时,护士遵医嘱给药.实验组手术前责任护士对患者进行疼痛认知与态度的评价,术后当疼痛程度达到3时护士遵医嘱给药.两组镇痛药均选择双氯芬酸钾25～50mg口服.比较两组患者术后疼痛情况及用药量.结果 实验组术后3h疼痛程度(3.900±1.207)分,术后第1天早餐前疼痛程度(4.830±1.845)分,均低于对照组(4.960±1.611)分和(5.590±1.681)分,两组比较差异有统计学意义(t=-3.657,-2.067;P ＜0.05)；术后24h内实验组用药量为(90.25±31.25)mg,对照组为(62.5±33)mg.两组比较差异有统计学意义(=3.01,P＜0.01).实验组术后镇痛满意度为90.6％,对照组为82.0％,两组比较差异有统计学意义(x2 =11.2,P＜0.05).结论 超前镇痛能有效减轻患者疼痛程度,提高扁桃腺切除术后患者镇痛满意度.
目的 探討超前鎮痛對扁桃腺切除術後鎮痛的效果及滿意度.方法 選擇扁桃腺切除術的患者103例,隨機分為實驗組53例和對照組50例.兩組患者術前由責任護士指導使用0～10疼痛數字量錶評估疼痛程度,對照組術後在患者提齣需要鎮痛藥時,護士遵醫囑給藥.實驗組手術前責任護士對患者進行疼痛認知與態度的評價,術後噹疼痛程度達到3時護士遵醫囑給藥.兩組鎮痛藥均選擇雙氯芬痠鉀25～50mg口服.比較兩組患者術後疼痛情況及用藥量.結果 實驗組術後3h疼痛程度(3.900±1.207)分,術後第1天早餐前疼痛程度(4.830±1.845)分,均低于對照組(4.960±1.611)分和(5.590±1.681)分,兩組比較差異有統計學意義(t=-3.657,-2.067;P ＜0.05)；術後24h內實驗組用藥量為(90.25±31.25)mg,對照組為(62.5±33)mg.兩組比較差異有統計學意義(=3.01,P＜0.01).實驗組術後鎮痛滿意度為90.6％,對照組為82.0％,兩組比較差異有統計學意義(x2 =11.2,P＜0.05).結論 超前鎮痛能有效減輕患者疼痛程度,提高扁桃腺切除術後患者鎮痛滿意度.
목적 탐토초전진통대편도선절제술후진통적효과급만의도.방법 선택편도선절제술적환자103례,수궤분위실험조53례화대조조50례.량조환자술전유책임호사지도사용0～10동통수자량표평고동통정도,대조조술후재환자제출수요진통약시,호사준의촉급약.실험조수술전책임호사대환자진행동통인지여태도적평개,술후당동통정도체도3시호사준의촉급약.량조진통약균선택쌍록분산갑25～50mg구복.비교량조환자술후동통정황급용약량.결과 실험조술후3h동통정도(3.900±1.207)분,술후제1천조찬전동통정도(4.830±1.845)분,균저우대조조(4.960±1.611)분화(5.590±1.681)분,량조비교차이유통계학의의(t=-3.657,-2.067;P ＜0.05)；술후24h내실험조용약량위(90.25±31.25)mg,대조조위(62.5±33)mg.량조비교차이유통계학의의(=3.01,P＜0.01).실험조술후진통만의도위90.6％,대조조위82.0％,량조비교차이유통계학의의(x2 =11.2,P＜0.05).결론 초전진통능유효감경환자동통정도,제고편도선절제술후환자진통만의도.
Objective To evaluated the ache control degree of satisfaction of patients with tonsillectomy by advance analgesia.Methods 103 patients who were randomized into two groups were instructed to use the pain rating scale.The control group stochastically (n =53) group was given pain killer in time.The aim of control was below three.The experimental group ( n =50) was given pain killer when they asked.Observe the effect of analgesics and ache control degree of satisfaction.Results The average pain on the 0 - 10 NRS of the 3 hour after operation was (3.900 =1.207) in the experimental and (4.830 ± 1.845) one day after operation in the morning,and those in the control group were (4.96 ± 1.611 ) and (5.590 ± 1.681 ) ; the differences between the two groups were statistically significant (t =- 3.657,- 2.067 ; P ＜ 0.05 ) ; dose of medicine during 24 h in experimental group were (90.25 ±31.25)mg,and (62.5 ±33)mg in the control group,and the difference was significant (t =3.01,P ＜0.01 ) ; ache control degree of satisfaction in experimental group was 90.6％ and in control group was 82.0％,the difference was significant ( x2 =11.2,P ＜ 0.05).Conclusions Advance analgesia could ease the pain more effectively.The ache control degree of satisfaction was improved.
