基于CDIO案例结合护理团队参与对翼状胬肉术后疼痛的管理

目的 探讨基于CDIO的案例与病例融合结合护理团队管理翼状胬肉患者术后疼痛的效果.方法 选取2016年12月至2018年6月在湖南省某综合性三甲医院眼科诊治的原发性翼状胬肉患者80例80眼为研究对象,按随机数字表法分为观察组和对照组,各40例.观察组采取基于CDIO的案例与病例融合团队全程管理,对照组采取常规管理.对两...

The Management of Postoperative Pain in Pterygium Based on CDIO Cases and Nursing Team Participation

Objective To explore the effect of case and case fusion based on CDIO combined with nursing team in the management of postoperative pain in patients with pterygium.Methods A total of 80 cases and 80 eyes of primary pterygium patients treated in the ophthalmology department of a comprehensive Grade A hospital in Hunan province from December 2016 to June 2018 were selected as the research subjects.Patients were assigned randomly into the observation group and the control group,with 40 per group.The observation group received case and case fusion based on CDIO combined with nursing team in the management,while the control group received ordinary management.The scale of pain(NRS)was measured on the day of operation,and in 1 and 2 days postoperative,and self rating anxiety scale(SAS)was carried at preoperative,same-day and 1 day after operation.The self-made discomfort tolerance scale was assessed on the same day and 1 day after operation.NRS scores,SAS scores and postoperative discomfort tolerance were observed and compared of two groups.Results The scale of pain at each time point of the observation group was lower than the control group,and the difference was statistically significant(P<0.05);the anxiety scores of the same-day and 1 day after operation in the observation group was lower than the control group,and the difference was statistically significant(P<0.05);the postoperative discomfort tolerance in the observation group was higher than the control group,and the difference was statistically significant(P<0.05).Conclusion For pterygium patients,the whole process management of case and case fusion team based on CDIO can effectively relieve pain,anxiety and improve the degree of discomfort tolerance.