CAJ | 학술논문

目的探讨无痛病房护理模式对骨科围手术期病人疼痛干预的效果评价.方法选择100例骨科择期手术患者,男性55例,女性45例,随机分为实验组和对照组,对照组给予常规的护理及止痛方法,实验组于入院后即进行评估,手术前1天,口服塞来昔布胶囊200毫克Bid,或术前2小时,400mg顿服,麻醉科配合缝皮前30分钟静滴帕瑞昔布钠40毫克,术后由护士每4小时评估患者疼痛分值,NRS>4分时及时与医生沟通,给予镇痛处理,术后每12小时肌注帕瑞昔布钠40毫克至术后60小时,使NRS评分维持在0-3分之间,使患者在围手术期处于无痛或微痛状态.结果实验组50例患者NRS评分≤4分39例.24h疼痛频率≤3次41例.24h需临时应用止痛药≤2次30例.患者满意度在92%以上.疼痛降低程度和患者满意度明显优于对照组.结论无痛治疗与无痛病房护理模式能明显降低围手术期病人的疼痛,使医院镇痛水平及患者满意度有了显著的提高.
목적탐토무통병방호리모식대골과위수술기병인동통간예적효과평개.방법선택100례골과택기수술환자,남성55례,녀성45례,수궤분위실험조화대조조,대조조급여상규적호리급지통방법,실험조우입원후즉진행평고,수술전1천,구복새래석포효낭200호극Bid,혹술전2소시,400mg돈복,마취과배합봉피전30분종정적파서석포납40호극,술후유호사매4소시평고환자동통분치,NRS>4분시급시여의생구통,급여진통처리,술후매12소시기주파서석포납40호극지술후60소시,사NRS평분유지재0-3분지간,사환자재위수술기처우무통혹미통상태.결과실험조50례환자NRS평분≤4분39례.24h동통빈솔≤3차41례.24h수림시응용지통약≤2차30례.환자만의도재92%이상.동통강저정도화환자만의도명현우우대조조.결론무통치료여무통병방호리모식능명현강저위수술기병인적동통,사의원진통수평급환자만의도유료현저적제고.
]Objective: To investigate patterns of pain care orthopedic ward of perioperative pain in patients Evaluation of intervention. Methods: 100 cases of orthopedic elective surgery patients, male 55 cases, 45 females, were randomly divided into experimental and control groups, control group received routine care and pain relief methods, the experimental group was admitted to hospital after assessment 1 day before surgery, oral celecoxib capsules 200 mg Bid, or 2 hours before surgery, 400mg Dayton clothing, leather sewing before anesthesia with 30 minute intravenous parecoxib sodium 40 mg every four hours by a nurse after patient assessment of pain scores, NRS> 4 sharing timely communication with the doctor to give analgesi treatment.Intramuscular injection every 12 hours after parecoxib sodium 40 mg and after 60 hours, the NRS score remained at O-3 between the patients in the perioperative period in pain or slight pain state. Results:The experimental group 50 patients NRS score ≤ 4 points 47 cases. 24h of pain frequency ≤ 3 times 48. 24h provisional application of painkillers to be ≤ 2 times 39 cases. Patient satisfaction at 98%. Reduce the degree of pain and patient satisfaction was significantly better than the control group. Conclusion: painless treatment and pain ward care model can significantly reduce the perioperative patient's pain, pain level and the hospital patient satisfaction have been significantly improved.