CAJ | 학술논문

目的探讨手外伤显微术后不同时间段疼痛程度及干预效果,为临床医务人员特别是护理人员处理术后疼痛提供客观指标.方法采用数字分级评估法对60例手外伤患者显微术后72 h内不同时间段疼痛强度和疼痛时间进行评估,并给予心理及药物十预,探讨其疼痛的规律性;观察心理干预效果.结果患者疼痛峰值在夜晚20:00～24:00和午后12:00～16:00时段,两时段疼痛强度及时间组间比较差异无统计学意义(P＞0.05),两组时间段分别与其他时间段组间比较差异有统计学意义(P＜0.05);中度疼痛时间30 min之内心理干预效果较好(P＜0.05),超过30 min则需要药物治疗.结论将疼痛因素引起的血管危象控制在最小范围内,提高手术的成功率.
목적 탐토수외상현미술후불동시간단동통정도급간예효과,위림상의무인원특별시호리인원처리술후동통제공객관지표.방법 채용수자분급평고법대60례수외상환자현미술후72 h내불동시간단동통강도화동통시간진행평고,병급여심리급약물십예,탐토기동통적규률성;관찰심리간예효과.결과 환자동통봉치재야만20:00～24:00화오후12:00～16:00시단,량시단동통강도급시간조간비교차이무통계학의의(P＞0.05),량조시간단분별여기타시간단조간비교차이유통계학의의(P＜0.05);중도동통시간30 min지내심리간예효과교호(P＜0.05),초과30 min칙수요약물치료.결론 장동통인소인기적혈관위상공제재최소범위내,제고수술적성공솔.
Objective To study the pain levels of different time periods and effect of intervention after microsurgery on hand injuries,and to provide objective indexes for pain dealing after operation for medical staff,especially nurses.Methods Pain intensity and duration within 72 h after microsurgery was assessed on 60 cases of patients with hand injuries using digital grading method.Psychological and medical intervention was given to explore the pattern of their pain and the effect of intervention.Results Pain peaks appeared at 20:00 ～ 24:00 and 12:00 ～ 18:00.Pain intensity and duration was not significantly different between the two periods (P ＞0.05) but was significantly different from the other periods (P＜0.05).Psychological intervention was effective for moderate pain within 30 minutes (P＜0.05).Drug treatment was needed beyond 30 minutes.Conclusions The study helps to minimize the occurrence of pain-induced vascular crisis and increase the success rate of surgery.