术前疼痛教育对慢性硬膜下血肿手术患者疼痛控制的影响

目的评价术前疼痛教育对慢性硬膜下血肿患者行颅内血肿钻孔引流术后的镇痛疗效和护理满意度。方法采用非同期队列对照设计,将2011年1月—12月神经外科收治的慢性硬膜下血肿患者65例设为对照组,采取常规术前教育;将2012年1月—12月收治的慢性硬膜下血肿患者65例设为干预组,在常规术前教育基础上给予疼痛教育。采用VAS疼痛评分和护理满意度量表分别对两组患者进行评价。结果术后24 h、48 h、72 h,干预组VAS得分比对照组显著下降（P〈0.01）;术后72 h干预组患者的总体护理满意度得分显著高于对照组（P〈0.05）。结论疼痛教育可显著减轻慢性硬膜下血肿患者行颅内血肿钻孔引流术后疼痛的程度,提高患者的护理满意度。

The effects of preoperative education on postoperative pain control for patients with chronic subdural hematoma

Objective The study attempted to understand the analgesic effects and nursing satisfaction of preoperative education on postoperative pain control for patients with chronic subdural hematoma after cranial drilling hematoma evacuation drainage. Method The patients were divided into a control group and an experimental group by means of cohort study of nonsimultaneous period. The control group of 65 patients with chronic subdural hematoma whom were admitted to the hospital from January, 2011 to December, 2011 were provided with regular preoperative education. The experimental group of also 65 patients with chronic subdural hematoma whom were admitted to the hospital from January, 2012 to December, 2012 were provided pain education based on regular preoperative education. VAS Pain score and nursing satisfaction scale designed by Doctor Zhao Hong were applied for comparing and evaluating the effects of the education on this two groups. Findings The postoperative pain degree of the experimental group was significantly lower than that of the control group（P 〈 0.01 ）. Nursing satisfaction of the experimental group was higher than that of the control group（P 〈0. 05）. Conclusion Preoperative education can significantly reduce the sense of pain of patients with chronic subdural hematoma after cranial drilling hematoma evacuation drainage and improve nursing satisfaction.