CAJ | 학술논문

目的探讨无痛护理干预对纤维支气管镜介入过程中疼痛的影响.方法将200例纤维支气管镜患者随机分为两组,对照组给予常规护理,每组100例.观察组给予无痛护理管理,比较两组患者操作过程中疼痛情况、心理状态及护理满意度.结果护理干预前两组患者疼痛评分比较差异未见统计学意义(t=0.83,P＞0.05);干预后,两组患者疼痛评分均显著下降,差异有统计学意义(t=3.27、1.63,P＜0.05);观察组干预后疼痛评分显著低于对照组,差异有统计学意义(t =2.54,P＜0.05).两组护理干预前SDS、SAS评分比较差异未见统计学意义(t=0.62、0.58,P＞0.05);护理干预后,观察组(t=3.25、4.41,P＜0.05)与对照组(t=4.63、5.27,P＜0.05)均明显下降,且观察组显著低于对照组,差异有统计学意义(t=5.73、11.04,P＜0.05).观察组患者对整个操作过程中的护理满意度为96％,显著高于对照组患者的78％,差异有统计学意义(x2=7.16,P＜0.05).结论无痛护理技术对纤维支气管镜操作过程中减轻患者痛苦具有重要意义.
목적 탐토무통호리간예대섬유지기관경개입과정중동통적영향.방법 장200례섬유지기관경환자수궤분위량조,대조조급여상규호리,매조100례.관찰조급여무통호리관리,비교량조환자조작과정중동통정황、심리상태급호리만의도.결과 호리간예전량조환자동통평분비교차이미견통계학의의(t=0.83,P＞0.05);간예후,량조환자동통평분균현저하강,차이유통계학의의(t=3.27、1.63,P＜0.05);관찰조간예후동통평분현저저우대조조,차이유통계학의의(t =2.54,P＜0.05).량조호리간예전SDS、SAS평분비교차이미견통계학의의(t=0.62、0.58,P＞0.05);호리간예후,관찰조(t=3.25、4.41,P＜0.05)여대조조(t=4.63、5.27,P＜0.05)균명현하강,차관찰조현저저우대조조,차이유통계학의의(t=5.73、11.04,P＜0.05).관찰조환자대정개조작과정중적호리만의도위96％,현저고우대조조환자적78％,차이유통계학의의(x2=7.16,P＜0.05).결론 무통호리기술대섬유지기관경조작과정중감경환자통고구유중요의의.
Objective To investigate the analgesic effect of nursing intervention on interventional fiberbronchoscope about pain.Methods Two hundred cases had fiberoptic bronchoscopy,and were randomly divided into two groups,the control group were given conventional nursing,the observation group were given painless nursing management,the operation process of pain,psychological state and nursing satisfaction was compared.Results Before the nursing intervention,pain scores had no significant difference(t =0.83,P ＞ 0.05),after intervention,pain scores significantly decreased,there was significant difference (t =3.27,1.63,P ＜ 0.05).Observation group after the intervention,pain score was significantly lower than those of control group after intervention scoring,there was significant difference (t =2.54,P ＜ 0.05).In the nursing intervention,there was no significant difference in SDS,SAS score between the two groups(t =0.62,0.58,P ＞0.05).After the nursing intervention,the SDS,SAS scores in observation group significantly decreased(t =3.25,4.41,P ＜ 0.05).In the control group,the scores of SAS and SDS were significantly decreased (t =4.63,5.27,P ＜ 0.05),and the SDS,SAS was significantly lower in observation group than that in the control group,the difference was significant (t =5.73,11.04,P ＜ 0.05).The nursing satisfaction of the whole operation process was 96％ in the observation group,which was significantly higher than that in the control group (78％),there was significant difference (x2 =7.16,P ＜ 0.05).Conclusions The painless nursing technique in alleviating the suffering of patients during operation of fiberoptic bronchoscopy has important significance.