首页 | 本学科首页   官方微博 | 高级检索  
检索        

规范化疼痛干预对吻合器痔上黏膜环切术术后疼痛的临床效果研究
引用本文:黄雪梅,魏健,张娇花,周玉娇.规范化疼痛干预对吻合器痔上黏膜环切术术后疼痛的临床效果研究[J].中国医药导报,2013,10(25):128-131.
作者姓名:黄雪梅  魏健  张娇花  周玉娇
作者单位:1. 广东医学院附属南山医院,广东深圳,518032
2. 广东省深圳市宝安区观澜人民医院普外科,广东深圳,518110
基金项目:广东省深圳市宝安区科技计划社会公益项目
摘    要:目的 探讨规范化疼痛护理干预在吻合器痔上黏膜环切术(PPH)后患者护理中的重要意义和临床应用效果.方法 将2012年6月~2013年6月深圳市宝安区观澜人民医院神经外科收治的300例行PPH术的痔疮患者均分为两组,每组150例.观察组进行综合疼痛护理干预,对照组不进行干预,分别在术后3d对患者术后疼痛进行数字分级法(NRS)评分、睡眠满意度比较,统计观察组患者疼痛缓解程度,并根据休斯顿疼痛情况调查表对患者满意度进行评价.结果 观察组术后3d疼痛NRS评分均低于对照组,睡眠满意度值均高于对照组,均存在显著差异(均P< 0.05).观察组患者的有效疼痛缓解率为92.7%,对照组患者的有效疼痛缓解率为81.3%,差异有统计学意义(x2=5.97,P=0.019);观察组疼痛控制总体满意度为(8.5±1.7)分,对照组为(7.1±1.8)分,差异有统计学意义(P< 0.05).结论 规范化疼痛干预能有效缓解PPH患者术后疼痛,提高睡眠满意度,以及患者满意度,应在临床护理中大力提倡.

关 键 词:疼痛干预  疼痛评估  吻合器痔上黏膜环切术  综合护理

Clinical effect study of standardized pain intervention for postoperative procedure for prolapse and hemorrhoids pain management
HUANG Xuemei , WEI Jian , ZHANG Jiaohua , ZHOU Yujiao.Clinical effect study of standardized pain intervention for postoperative procedure for prolapse and hemorrhoids pain management[J].China Medical Herald,2013,10(25):128-131.
Authors:HUANG Xuemei  WEI Jian  ZHANG Jiaohua  ZHOU Yujiao
Institution:1.Nanshan Hospital Affiliated to Guangdong Medical College, Guangdong Province, Shenzhen 518032, China; 2.De- partment of General Surgery, Guanlan People's Hospital of Baoan District in Shenzhen, Guangdong Province, Shenzhen 518110, China)
Abstract:Objective To observe the significance and clinical therapeutic efficacy of standardized pain intervention for postoperative procedure for prolapse and hemorrhoids pain management.Methods 300 cases in the Neurosurgery Department of Guanlan People's Hospital of Baoan District in Shenzhen from June 2012 to June 2013 of treating hemorrhoids by procedure for prolapse and hemorrhoids were randomized into two groups averagely (n =150).The observation group was taken integrated pain intervention while the control group was not.The differences of pain nursing record sheets (NRS) scores,postoperative sleep satisfaction in three days after surgery were compared,and the pain relif degrees of the observation group in three days after surgery and Houston pain outcome instrument (HPOI) before discharge were also recorded.Results NRS scores of the observation group were lower than the control group,while the sleep satisfaction was higher.There were significant deviations of average postoperative pain and sleep satisfaction betweem the two groups (all P < 0.05).The effective pain relif of the observation group and the control group were 92.7% and 81.3% respectively,the difference was significant (x2=5.97,P =0.019),and the integrated satisfaction of the standardized pain intervention were (8.5±1.7) points and (7.1±1.8) points.There were significant differences between the two groups (all P < 0.05).Conclusion Standardized pain intervention has a vital role to play in postoperative proce dure for prolapse and hemorrhoids pain management,in raising the sleep satisfaction and integrated satisfaction,and consequently it's worthy to spread in clinical application continually.
Keywords:Pain intervention  Pain assessment  Procedure for prolapse and hemorrhoids  Integrated nursing
本文献已被 维普 万方数据 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号