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术前疼痛知识宣教在妇科手术患者术后疼痛控制中的效果观察
引用本文:赵丽敏,方晓红. 术前疼痛知识宣教在妇科手术患者术后疼痛控制中的效果观察[J]. 中国现代医生, 2013, 0(31): 117-120
作者姓名:赵丽敏  方晓红
作者单位:[1]浙江省景宁县人民医院妇产科,浙江景宁323500 [2]杭州l市中医院妇科,浙江杭州310006
基金项目:浙江省中医药科学研究基金(2013ZA094)
摘    要:目的探讨术前疼痛知识宣教对妇科手术患者术后疼痛控制效果的影响。方法选择妇科手术患者100例为研究对象.随机分为两组。两组在入院后次日均填写疼痛控制认知问卷,发放《妇科手术术后疼痛控制宣传册》,在术前1d均进行术前常规指导,研究组在此基础上进行30min术前疼痛知识宣教。分别比较两组术后4h、术后第1天晨起、术后24h疼痛评分等。结果研究组术前和术后疼痛认知总分差异显著,术后显著高于术前(P〈0.01)。术后研究组疼痛认知得分高于对照组(P〈0.01)。研究组采用保护伤121、深呼吸、听音乐、看书等转移注意力方法缓解疼痛的比例显著高于对照组(P〈0.01)。研究组术后4h、36h、48h、最痛时分值均显著低于对照组(P〈0.01)。结论术前疼痛控制认知健康教育能够缓解患者妇科手术患者术后疼痛程度,提高患者术后疼痛控制效果。

关 键 词:健康教育  术后疼痛  数字评分法  疼痛控制

Efficacy of pain knowledge education preoperative on patients with gyne- cological operation postoperative pain control
ZHAO Limin,FANG Xiaohong. Efficacy of pain knowledge education preoperative on patients with gyne- cological operation postoperative pain control[J]. , 2013, 0(31): 117-120
Authors:ZHAO Limin  FANG Xiaohong
Affiliation:1.Department of Obstetrics and Gynecology, People's Hospital of Jingning County in Zhejiang Province, Jingning 323500, China; 2. Gynaecologic Department, Hangzhou TCM Hospital, Hangzhou 310006, China
Abstract:Objective To discuss efficacy of pain knowledge education preoperative on postoperative pain control. Methods A total of 100 cases with gynecological operation were divided into study group and control group. Two groups were surveyed by pain control cognitive questionnaire and received gynecological operation pain control brochure. Pain scores were surveyed after operation. Results Total score of study group after operation was more than before operation (P 〈 0.01). Total score of study group after operation was more than control group (P 〈 0.01). To re- lease pain by protecting cuts, deep breathing, listening music, watching books of study groups were more than control group (P 〈 0.01). Pain scores of study group were lower than control group after operation (P 〈 0.01). Conclusion Pain knowledge education preoperative can relieve postoperation pain, and improve Dostonerative nain control.
Keywords:Healthy education  Postoperative pain  VAS  Pain control
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