术前宣教和心理安抚对术后疼痛程度的影响

目的 研究术前给予特别信息进行心理安抚对患者术后疼痛程度的影响.方法 收集经腹子宫全切手术患者60例,随机分为治疗组和对照组各30例.治疗组术前给予特殊的心理安抚信息,而对照组只给常规信息.2组患者术后均采用静脉PCA泵自控镇痛,每天用VAS行疼痛评估并记录镇痛药用量,调查2组患者对镇痛的满意度.进行X2检验和t检验.结果 2组间每天最高VAS及镇痛药量比较无显著差异;治疗组对镇痛的满意度明显较对照组提高.结论 术前给予心理安抚对术后的疼痛程度和镇痛药的用量虽无明显影响,但能显著提高患者对镇痛和护理的满意度.

Influence of preoperative propaganda and education and psychological soothing on postoperative pain degree

Objective To study the influence of preoperative propaganda and education and psy-cho-logical soothing on patients" postoperative pain degree. Methods Sixty patients who were to undergo abdomi-nal total hysterectomy were randomly assigned to two groups equally, the intervention group was giv-en preoper-ative specific information while the control group received routine information. Both groups edop-ed intravenous PCA pump. Pain assessments were made using the visual analogue scale (VAS) and the dosage of analgesics consumed was recorded. The patients,satisfaction degree with pain management was observed and X2 test and t test were adopted. Results The highest VAS and analgesic dosage were not significantly different between the two groups. The satisfaction degree with pain management of the inter- vention group was high-ter than that of the control group. Conclusions The results of this study suggests that preoperative in-formation doesn't influence postoperative pain and analgesics consumption, but it can improve the patients' satisfaction with pain management and nursing care.