脊柱外科患者的疼痛护理研究

目的：探讨疼痛护理对脊柱外科患者护理效果的影响。方法将148例脊柱外科患者分为常规护理组和疼痛护理组，疼痛护理组在常规护理的基础上给予疼痛教育、心理护理、镇痛治疗等疼痛护理，采用患者疼痛程度、住院时间、患者满意度等指标评估疼痛护理的临床效果。结果常规护理组患者术后12、24、48、72 h的疼痛国际视觉类比评分分别为（5．36±1．03）、（3．98±0．74）、（3．42±0．87）、（2．73±0．62）分；疼痛护理组患者分别为（2．33±0．85）、（2．06±0．61）、（1．71±0．97）、（1．79±0．64）分，两组相比差异有统计学意义（ P＜0．01）。疼痛护理组患者住院时间（10．3±2．6）d ]较常规护理组患者住院时间（14．7±3．4）d ]缩短，差异有统计学意义（ P＜0．01）。疼痛护理组患者满意度评分（97．6±1．5）分]优于常规护理组（91．7±1．4）分]，差异有统计学意义（P＜0．05）。结论疼痛护理可有效缓解脊柱外科患者的疼痛不适，缩短住院时间，提高患者满意度，具有临床推广价值。

Effects of pain nursing in patients with spinal diseases

Objective To investigate the clinic effects of pain nursing in patients with spinal diseases . Methods A total of 148 patients with spinal surgery were randomly divided into conventional nursing intervention group （control group） ,receiving conventional nursing ,and pain nursing intervention group （intervention group） ,re-ceiving pain education ,psychic nursing ,analgesic drug nursing and so on ,74 patients in each group .Visual Analogue Scale （VAS ） of pain scores ,duration of hospital stay and nursing satisfaction of both groups were compared . Results The VAS pain scores of the control group ,detected at 12 ,24 ,48 and 72 h after surgery were （5 .36 ± 1 .03） , （3 .98 ± 0 .74） ,（3 .42 ± 0 .87） and （2 .73 ± 0 .62） scores respectively ,which were different with the （2 .33 ± 0 .85） , （2 .06 ± 0 .61） ,（1 .71 ± 0 .97） and （1 .79 ± 0 .64） scores of intervention group （P〈0 .01） .The duration of hospital stay in intervention group was （10 .3 ± 2 .6）d ,which was shorter than the （14 .7 ± 3 .4） d of control group （P〈0 .01） .The nursing satisfaction of the intervention group was （97 .6 ± 1 .5）scores ,which was significantly better than the （91 .7 ± 1 .4） scores of control group （P〈0 .05） .Conclusion Application of pain nursing in spinal patients could efficiently relieve the pain ,significantly reduce the duration of hospital stay and improve nursing satisfaction ,which might be worthy of widely clinical application .