中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
14期
1672-1674
,共3页
疼痛%骨科手术%中医护理
疼痛%骨科手術%中醫護理
동통%골과수술%중의호리
Pain%Orthopedic surgery%Chinese medicine nursing
目的：探讨中医特色的辨证施护对骨科手术患者术后疼痛控制的疗效。方法选取2013年6月—2014年5月骨科收治的行手术治疗患者129例为研究对象,按照入院日期分为观察组(65例)和对照组(64例)。对照组给予常规疼痛护理干预,观察组在此基础上给予中医特色的辨证施护。比较两组患者的疼痛程度、不良反应、住院天数、住院费用、患者满意度及睡眠质量。结果观察组术后24 h疼痛评分、术后1~5 d内经历的最严重疼痛及术后1~5 d内睡眠质量评分分别为(2.19±1.47),(4.03±2.14),(14.79±2.83)分,均明显低于对照组的(4.63±1.50),(6.42±2.65),(25.01±2.52)分,差异均有统计学意义(t值分别为5.664,6.873,5.495；P<0.05)。观察组不良反应发生率为9.23%,住院天数为(13.35±3.35) d,住院费用为(37516.32±2987.42)元,低于对照组的9.23%,(17.21±4.50) d,(43056.76±3412.78)元,两组比较差异有统计学意义(χ2/t值分别为4.321,4.352,3.726；P<0.05)。观察组患者满意度为98.46%,高于对照组的76.56%,两组比较差异有统计学意义(χ2=4.569,P<0．05)。结论采用中医特色的辨证施护能有效缓解骨科患者的术后疼痛,提高护理满意度,降低不良反应发生率,减轻了患者经济负担,值得临床广泛推广和应用。
目的：探討中醫特色的辨證施護對骨科手術患者術後疼痛控製的療效。方法選取2013年6月—2014年5月骨科收治的行手術治療患者129例為研究對象,按照入院日期分為觀察組(65例)和對照組(64例)。對照組給予常規疼痛護理榦預,觀察組在此基礎上給予中醫特色的辨證施護。比較兩組患者的疼痛程度、不良反應、住院天數、住院費用、患者滿意度及睡眠質量。結果觀察組術後24 h疼痛評分、術後1~5 d內經歷的最嚴重疼痛及術後1~5 d內睡眠質量評分分彆為(2.19±1.47),(4.03±2.14),(14.79±2.83)分,均明顯低于對照組的(4.63±1.50),(6.42±2.65),(25.01±2.52)分,差異均有統計學意義(t值分彆為5.664,6.873,5.495；P<0.05)。觀察組不良反應髮生率為9.23%,住院天數為(13.35±3.35) d,住院費用為(37516.32±2987.42)元,低于對照組的9.23%,(17.21±4.50) d,(43056.76±3412.78)元,兩組比較差異有統計學意義(χ2/t值分彆為4.321,4.352,3.726；P<0.05)。觀察組患者滿意度為98.46%,高于對照組的76.56%,兩組比較差異有統計學意義(χ2=4.569,P<0．05)。結論採用中醫特色的辨證施護能有效緩解骨科患者的術後疼痛,提高護理滿意度,降低不良反應髮生率,減輕瞭患者經濟負擔,值得臨床廣汎推廣和應用。
목적：탐토중의특색적변증시호대골과수술환자술후동통공제적료효。방법선취2013년6월—2014년5월골과수치적행수술치료환자129례위연구대상,안조입원일기분위관찰조(65례)화대조조(64례)。대조조급여상규동통호리간예,관찰조재차기출상급여중의특색적변증시호。비교량조환자적동통정도、불량반응、주원천수、주원비용、환자만의도급수면질량。결과관찰조술후24 h동통평분、술후1~5 d내경력적최엄중동통급술후1~5 d내수면질량평분분별위(2.19±1.47),(4.03±2.14),(14.79±2.83)분,균명현저우대조조적(4.63±1.50),(6.42±2.65),(25.01±2.52)분,차이균유통계학의의(t치분별위5.664,6.873,5.495；P<0.05)。관찰조불량반응발생솔위9.23%,주원천수위(13.35±3.35) d,주원비용위(37516.32±2987.42)원,저우대조조적9.23%,(17.21±4.50) d,(43056.76±3412.78)원,량조비교차이유통계학의의(χ2/t치분별위4.321,4.352,3.726；P<0.05)。관찰조환자만의도위98.46%,고우대조조적76.56%,량조비교차이유통계학의의(χ2=4.569,P<0．05)。결론채용중의특색적변증시호능유효완해골과환자적술후동통,제고호리만의도,강저불량반응발생솔,감경료환자경제부담,치득림상엄범추엄화응용。
Objective To investigate the applications of dialectical nursing of tradition Chinese medicine for orthopedic surgery patients with postoperative pain. Methods A total of 129 orthopedic surgery patients in our hospital were randomly divided into two groups from September 2012 to April 2014, and 65 cases of observation group were treated with a model of dialectical nursing of tradition Chinese medicine while 64 cases of control group were treated with routine care, comparison of nursing outcomes, pain, adverse reactions, length of stay, hospital costs, patient satisfaction and quality of sleep between two groups. Results The scores of degree of pain in 24 h, 1-5 d most severe pain and SRSS in the experimental group [(2. 19 ± 1. 47), (4. 03 ± 2. 14), (14. 79 ± 2. 83)] were significantly lower than those in the control group [(4. 63 ± 1. 50), (6. 42 ± 2. 65), (25. 01 ± 2. 52)], and theses differences were statistically significant between the two groups(t =5. 664,6. 873,5. 495;P<0. 05). The rate of adverse reactions, hospitalized days and costs were respectively 9. 23%,(13. 35 ± 3. 35) d, (37 516. 32 ± 2 987. 42) yuan in the experimental group, and were significantly lower than 25. 00%,(17. 21 ± 4. 50)d, (43 056. 76 ± 3 412. 78) yuan in the control group, and the differences were statistically significant (χ2/t=4. 321,4. 352,3. 726;P<0. 05). The patients′satisfaction was 98. 46% in the experimental group, and was significantly higher than 76. 56% in the control group, and the difference was statistically significant (χ2 =4. 569,P<0. 05). Conclusions The model of dialectical nursing of traditional Chinese medicine significantly improves the orthopedic surgery patient′s suffering and nursing satisfaction, and reduce adverse reactions and the financial burden on patients. It is worthy of wider promotion and application.
