CAJ | 학술논문

目的探讨全程综合护理干预对关节置换术患者术后疼痛程度影响的效果研究.方法将116例接受关节置换术的患者随机分为干预组59例和对照组57例.两组实施手术前后均给予常规护理,干预组在此基础上针对患者不同的社会背景、文化程度、心理素质等实施术前预见性护理干预,术中全程陪护,术后疼痛护理干预及出院后随访干预为一体的全程综合性护理干预.比较两组患者干预效果.结果干预组术后疼痛强度低于对照组,术后8h干预组疼痛得分(6.54±1.65)分,对照组(9.63±1.73)分,两组比较差异有统计学意义(t=9.84,P＜0.01)；干预组术后首次下床时间为(13.62±4.28)h,少于对照组的(19.83±5.27)h,住院时间为(14.17±2.43)d,少于对照组的(17.67±3.51)d,总治疗费用为(5 883.70±43.40)元,少于对照组的(7 581.38±55.24)元,差异均有统计学意义(t分别为6.95,6.22,183.64；P＜0.01)；干预组术后生活质量评估得分为(5.92±0.33)分,对照组(3.78±0.25)分,两组比较差异有统计学意义(t=39.45,P＜0.01).结论对关节置换术患者实施全程综合性护理干预可有效地减轻患者术后疼痛,增强患者对疼痛的耐受力,提高了患者的舒适度及术后生活质量,改善睡眠质量,减少术后并发症,缩短了平均住院日,提高了患者的出院满意度及治疗效果,从而提高整体护理质量.
목적 탐토전정종합호리간예대관절치환술환자술후동통정도영향적효과연구.방법 장116례접수관절치환술적환자수궤분위간예조59례화대조조57례.량조실시수술전후균급여상규호리,간예조재차기출상침대환자불동적사회배경、문화정도、심리소질등실시술전예견성호리간예,술중전정배호,술후동통호리간예급출원후수방간예위일체적전정종합성호리간예.비교량조환자간예효과.결과 간예조술후동통강도저우대조조,술후8h간예조동통득분(6.54±1.65)분,대조조(9.63±1.73)분,량조비교차이유통계학의의(t=9.84,P＜0.01)；간예조술후수차하상시간위(13.62±4.28)h,소우대조조적(19.83±5.27)h,주원시간위(14.17±2.43)d,소우대조조적(17.67±3.51)d,총치료비용위(5 883.70±43.40)원,소우대조조적(7 581.38±55.24)원,차이균유통계학의의(t분별위6.95,6.22,183.64；P＜0.01)；간예조술후생활질량평고득분위(5.92±0.33)분,대조조(3.78±0.25)분,량조비교차이유통계학의의(t=39.45,P＜0.01).결론 대관절치환술환자실시전정종합성호리간예가유효지감경환자술후동통,증강환자대동통적내수력,제고료환자적서괄도급술후생활질량,개선수면질량,감소술후병발증,축단료평균주원일,제고료환자적출원만의도급치료효과,종이제고정체호리질량.
Objective To discuss the effect of whole course comprehensive nursing intervention on postoperative pain of patients with joint replacement.Methods 116 cases who had joint replacement were randomly divided into the control group (n =57) and the intervention group (n =59).Both groups received conventional nursing before and after surgeries,and the intervention group received whole course comprehensive nursing intervention in addition,which included preoperative nursing intervention according to patient' s social background,standard of culture and psychological quality,whole course accompany during surgery,postoperative pain nursing intervention and follow-up after discharge.Intervention effect was compared between two groups.Results Pain degree was lower in the intervention group than in the control group.Pain score 8 hours after operation was (6.54 ± 1.65) in the intervention group and (9.63 ± 1.73) in the control group,and the difference was statistically significant (t =9.84,P ＜ 0.01).The first leaving bed time was (13.62 ± 4.28) h in the intervention group and (19.83 ±5.27) in the control group,hospitalization time was (14.17 ±2.43) d in the intervention group and (17.67 ± 3.51)d in the control group,treatment cost was (17.67 ± 3.51) yuan in the intervention group and (7 581.38 ± 55.24) yuan in the control group,and the differences were statistically significant (t =6.95,6.22,183.64,respectively ; P ＜ 0.01).Score of life quality was (5.92 ± 0.33) in the intervention group and (3.78 ± 0.25) in the control group,and the difference was statistically significant (t =39.45,P ＜ 0.01).Conclusions The implementation of whole course comprehensive nursing intervention for joint replacement patients can effectively relieve their postoperative pain,enhanced their pain tolerance,improve their comfort,quality of life and sleep quality,reduce postoperative complications,shorten average hospital stay,and raise their satisfaction and treatment effect,thereby improving the quality of holistic nursing care.