CAJ | 학술논문

目的:探讨护理干预对改善耳鼻喉部手术患者术后疼痛的应用价值.方法:选择2012年9月至2014年8月手术治疗的耳鼻喉疾病患者50例作为观察组,进行综合护理干预;另选取2011年3月至2012年8月行耳鼻喉部手术治疗的患者50例作为对照组,进行常规护理.监测2组患者术后24 h和72 h的疼痛视觉模拟评分、术后72 h镇痛药使用率、疼痛分级以及总体疗效.结果:观察组术后24 h和72 h的视觉模拟评分以及72 h后的镇痛药使用率明显低于对照组(P<0.01);观察组和对照组的总疼痛率分别为12.0%和68.0%,差异有统计学意义(P<0.01);观察组和对照组的总有效率分别为100.0%和90.0%,差异亦有统计学意义(P<0.01).结论:护理干预能有效改善耳鼻喉部手术患者的术后疼痛,促进患者的术后恢复,值得推广.
목적:탐토호리간예대개선이비후부수술환자술후동통적응용개치.방법:선택2012년9월지2014년8월수술치료적이비후질병환자50례작위관찰조,진행종합호리간예;령선취2011년3월지2012년8월행이비후부수술치료적환자50례작위대조조,진행상규호리.감측2조환자술후24 h화72 h적동통시각모의평분、술후72 h진통약사용솔、동통분급이급총체료효.결과:관찰조술후24 h화72 h적시각모의평분이급72 h후적진통약사용솔명현저우대조조(P<0.01);관찰조화대조조적총동통솔분별위12.0%화68.0%,차이유통계학의의(P<0.01);관찰조화대조조적총유효솔분별위100.0%화90.0%,차이역유통계학의의(P<0.01).결론:호리간예능유효개선이비후부수술환자적술후동통,촉진환자적술후회복,치득추엄.
Objective:To explore the effects of the nursing intervention on improving the postoperative pain in patients with ENT( ear, nose and throat ) surgery. Methods:Fifty patients treated with ENT surgery were set as the observation group, and nursed with comprehensive nursing intervention. Fifty patients treated with ENT surgery from March 2011 to August 2012 were set as the control group,and nursed with the conventional nursing method. The visual analogue scale score at postoperative 24 h and 72 h,and analgesic usage rate,pain level proportion and total efficacy at postoperative 72 h in two groups were observed. Results:The visual analogue scale score at postoperative 24 h and 72 h and analgesic usage rate at postoperative 72 h in observation group were significantly lower than those in control group(P<0. 01). The total rate of pain in observation group and control group were 12. 0% and 68. 0%,respectively, the difference of which was statistically significant(P<0. 01). The totally effective rate in observation group and control group were 100. 0% and 90. 0%,respectively,the difference of which was statistically significant(P<0. 01). Conclusions:Comprehensive nursing intervention can effectively improve the postoperative pain, and promote the postoperative recovery of patients, which is worthy of popularizing.