中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2015年
12期
78-81
,共4页
术后疼痛%综合护理%相关性%外科手术%影响
術後疼痛%綜閤護理%相關性%外科手術%影響
술후동통%종합호리%상관성%외과수술%영향
Pains after operations%Comprehensive nursing intervention%Correlation%Surgical operation%Influence
目的：观察综合护理干预对外科手术患者术后疼痛的影响，探讨综合护理干预措施与疼痛减轻的相关性。方法研究纳入90例2014年1月～2015年1月在我院普外科进行手术治疗患者，根据护理干预措施不同分为观察组（n=45）和对照组（n=45）,对照组患者术后给予常规护理干预，观察组患者术后在常规护理干预基础上，实行综合护理干预，包括认知干预、心理干预和行为干预，采用数字等级评定定量表（NRS）对所有患者术后4、12、24、36h和72h进行疼痛评分评估，比较两组患者护理干预后疼痛情况，分析综合护理干预各项措施与疼痛减轻的相关性。结果综合护理干预患者和常规护理患者术后72h的NRS评分均较术后4h显著降低（*P＜0.05；#P＜0.05）；综合护理干预患者术后4、12、24、36h和72h的NRS评分较对照组显著降低（P＜0.05），术后72h综合护理组轻度疼痛比例为91.1%，显著高于对照组75.6%（P＜0.05），相关性分析结果显示综合护理干预措施与疼痛减轻具有显著先关性（r=0.342，P＜0.05）。结论对外科手术患者实行认知干预、心理干预和行为干预等综合护理干预措施可显著缓解患者疼痛，有助于术后恢复。
目的：觀察綜閤護理榦預對外科手術患者術後疼痛的影響，探討綜閤護理榦預措施與疼痛減輕的相關性。方法研究納入90例2014年1月～2015年1月在我院普外科進行手術治療患者，根據護理榦預措施不同分為觀察組（n=45）和對照組（n=45）,對照組患者術後給予常規護理榦預，觀察組患者術後在常規護理榦預基礎上，實行綜閤護理榦預，包括認知榦預、心理榦預和行為榦預，採用數字等級評定定量錶（NRS）對所有患者術後4、12、24、36h和72h進行疼痛評分評估，比較兩組患者護理榦預後疼痛情況，分析綜閤護理榦預各項措施與疼痛減輕的相關性。結果綜閤護理榦預患者和常規護理患者術後72h的NRS評分均較術後4h顯著降低（*P＜0.05；#P＜0.05）；綜閤護理榦預患者術後4、12、24、36h和72h的NRS評分較對照組顯著降低（P＜0.05），術後72h綜閤護理組輕度疼痛比例為91.1%，顯著高于對照組75.6%（P＜0.05），相關性分析結果顯示綜閤護理榦預措施與疼痛減輕具有顯著先關性（r=0.342，P＜0.05）。結論對外科手術患者實行認知榦預、心理榦預和行為榦預等綜閤護理榦預措施可顯著緩解患者疼痛，有助于術後恢複。
목적：관찰종합호리간예대외과수술환자술후동통적영향，탐토종합호리간예조시여동통감경적상관성。방법연구납입90례2014년1월～2015년1월재아원보외과진행수술치료환자，근거호리간예조시불동분위관찰조（n=45）화대조조（n=45）,대조조환자술후급여상규호리간예，관찰조환자술후재상규호리간예기출상，실행종합호리간예，포괄인지간예、심리간예화행위간예，채용수자등급평정정량표（NRS）대소유환자술후4、12、24、36h화72h진행동통평분평고，비교량조환자호리간예후동통정황，분석종합호리간예각항조시여동통감경적상관성。결과종합호리간예환자화상규호리환자술후72h적NRS평분균교술후4h현저강저（*P＜0.05；#P＜0.05）；종합호리간예환자술후4、12、24、36h화72h적NRS평분교대조조현저강저（P＜0.05），술후72h종합호리조경도동통비례위91.1%，현저고우대조조75.6%（P＜0.05），상관성분석결과현시종합호리간예조시여동통감경구유현저선관성（r=0.342，P＜0.05）。결론대외과수술환자실행인지간예、심리간예화행위간예등종합호리간예조시가현저완해환자동통，유조우술후회복。
Objective To observe the effect of comprehensive nursing intervention on pains of patients after surgical operations and explore the correlation between comprehensive nursing intervention and pain relief.Methods 90 patients with surgical treatment in the department of general surgery in our hospital from January 2014 to January 2015 were selected in this study, according to the different treatment ways the patients were divided into observation group(n=45) and control group(n=45), patients of control group were received routine nursing intervention, patients of observation group were received comprehensive nursing intervention that include the cognitive intervention, psychological intervention and behavior intervention based on the routine nursing, used numerical rating scale(NRS) to evaluate the scores of pain at 4、12、24、36h and 72h after operations, and the situation of pain relief of two groups after nursing intervention were compared and the correlation between comprehensive nursing intervention and pain relief were analyzed.ResultsThe scores of NRS of two groups at 72h after operations were all significant lower than the scores of NRS at 4h after operations(*P<0.05;#P<0.05); the scores of NRS of patient with comprehensive nursing intervention at 4、12、24、36h and 72h after operations were significant lower than control group(P<0.05), the rate of mild pain of observation group at after 72h after operations was 91.1% and significant higher than 75.6% in control group(P<0.05), correlation analysis results showed there was a significant positive correlation between comprehensive nursing intervention and pain relief(r=0.342,P<0.05). Conclusion Surgical patients use comprehensive nursing intervention after operations such as cognitive intervention, psychological intervention and behavior intervention can relief the pain significantly, and it is good for postoperative recovery.
