安徽医学
安徽醫學
안휘의학
ANHUI MEDICAL JOURNAL
2015年
8期
1007-1010
,共4页
规范化疼痛评估%护理实践效果%肝脏外科
規範化疼痛評估%護理實踐效果%肝髒外科
규범화동통평고%호리실천효과%간장외과
Standardized pain assessment%Clinical nursing practice%Hepatic surgery
目的：探讨规范化疼痛评估在肝脏外科临床护理实践中的应用效果。方法将某三甲医院肝脏外科182例行开腹肝切除手术患者按入院时间分为两组，2013年6月~11月入院的85例患者为对照组（传统疼痛评估组），2013年12月~2014年5月入院的97例患者为观察组（规范化疼痛评估组）。观察组按照统一的疼痛评估频次、时机，定时、规律地对患者实施规范化疼痛评估；对照组在患者出现疼痛难忍时护士即刻评估患者疼痛。分析两组患者对疼痛管理满意度，手术当日睡眠时长，48 h 内疼痛评分，术后主动翻身活动时间等。结果182例患者中94.85%的患者主动报告个人疼痛；疼痛管理满意度观察组为93.82%，对照组为50.59%，手术当日睡眠时长观察组平均为（5.48±0.74）h，对照组为（4.16±1.07）h，手术后主动开始活动时间观察组平均是（9.7±6.4）h，对照组为（21.1±5.6）h，术后24小时疼痛评分观察组平均为（2.39±1.14）分，对照组为（3.30±1.33）分，上述观察组数据均优于对照组，两组比较差异均有统计学意义（P ﹤0.05）。结论规范化疼痛评估，能提高肝脏外科患者疼痛控制满意度和舒适度，促进患者参与，减轻患者痛苦，促进患者快速康复。
目的：探討規範化疼痛評估在肝髒外科臨床護理實踐中的應用效果。方法將某三甲醫院肝髒外科182例行開腹肝切除手術患者按入院時間分為兩組，2013年6月~11月入院的85例患者為對照組（傳統疼痛評估組），2013年12月~2014年5月入院的97例患者為觀察組（規範化疼痛評估組）。觀察組按照統一的疼痛評估頻次、時機，定時、規律地對患者實施規範化疼痛評估；對照組在患者齣現疼痛難忍時護士即刻評估患者疼痛。分析兩組患者對疼痛管理滿意度，手術噹日睡眠時長，48 h 內疼痛評分，術後主動翻身活動時間等。結果182例患者中94.85%的患者主動報告箇人疼痛；疼痛管理滿意度觀察組為93.82%，對照組為50.59%，手術噹日睡眠時長觀察組平均為（5.48±0.74）h，對照組為（4.16±1.07）h，手術後主動開始活動時間觀察組平均是（9.7±6.4）h，對照組為（21.1±5.6）h，術後24小時疼痛評分觀察組平均為（2.39±1.14）分，對照組為（3.30±1.33）分，上述觀察組數據均優于對照組，兩組比較差異均有統計學意義（P ﹤0.05）。結論規範化疼痛評估，能提高肝髒外科患者疼痛控製滿意度和舒適度，促進患者參與，減輕患者痛苦，促進患者快速康複。
목적：탐토규범화동통평고재간장외과림상호리실천중적응용효과。방법장모삼갑의원간장외과182례행개복간절제수술환자안입원시간분위량조，2013년6월~11월입원적85례환자위대조조（전통동통평고조），2013년12월~2014년5월입원적97례환자위관찰조（규범화동통평고조）。관찰조안조통일적동통평고빈차、시궤，정시、규률지대환자실시규범화동통평고；대조조재환자출현동통난인시호사즉각평고환자동통。분석량조환자대동통관리만의도，수술당일수면시장，48 h 내동통평분，술후주동번신활동시간등。결과182례환자중94.85%적환자주동보고개인동통；동통관리만의도관찰조위93.82%，대조조위50.59%，수술당일수면시장관찰조평균위（5.48±0.74）h，대조조위（4.16±1.07）h，수술후주동개시활동시간관찰조평균시（9.7±6.4）h，대조조위（21.1±5.6）h，술후24소시동통평분관찰조평균위（2.39±1.14）분，대조조위（3.30±1.33）분，상술관찰조수거균우우대조조，량조비교차이균유통계학의의（P ﹤0.05）。결론규범화동통평고，능제고간장외과환자동통공제만의도화서괄도，촉진환자삼여，감경환자통고，촉진환자쾌속강복。
Objective To discuss the effect of standardized pain assessment in theclinical nursing practice of hepatic surgery.Methods A total of 182 patients withhepato-cellularcarcinoma(HCC)were enrolled in this study,and were divided into two groupsaccord-ing to the admission date. 97 patientshospitalized from Dec2013 to May 2014 were in thestudy group,which received standardized pain as-sessment by nurseswith sheduled frequency,timing and method. 85 patients hospitalized from Jun 2013 to Nov 2013 were in thecontrol group, which received traditional pain assessmentwhenever theyreported their severe pain to nurses. After surgery,thepatients',satisfaction rateto pain management,sleep duration of the operationday,pain scores within 48 hours and time of active roll-overbetween the two groups were com-pared. Results 94. 85% of patients ever reportedseverepain to nurses. The patients' satisfaction rateto pain management inthestudy group was 93. 82% ,and in the control group was 50. 59% . The average sleep duration ofthe operationdayinthe two groupswere(5. 48 ± 0. 74)hours and(4. 16 ± 1. 07)hours,respectively. The averagetime of active roll-over inthe two groupswere(9. 7 ± 6. 4)hours and(21. 1 ± 5. 6)hours, respectively. The respectivepain scores at 24 hours after surgery inthe two groupswere(2. 39 ± 1. 14)pointsand(3. 30 ± 1. 33)points. The above results inthe study group were alwaysbetter than those in the control group,and their differences were statistically significant(P ﹤0. 05). Conclusion Application of thestandardized pain assessment systemcould improve satisfaction rateto pain management,relieve post-operative pain,andpromote rapid recovery in patientsafter hepatic surgery.
