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痛阈降低护理在慢性创面不愈合患者中的应用
引用本文:林春敏,殷如,何冬梅,孙丽芳.痛阈降低护理在慢性创面不愈合患者中的应用[J].中华现代护理杂志,2022(4):437-441.
作者姓名:林春敏  殷如  何冬梅  孙丽芳
作者单位:吉林大学中日联谊医院老年病科;吉林大学中日联谊医院肿瘤血液科
基金项目:吉林省科研横向课题项目(2019YX223)。
摘    要:目的:探讨痛阈降低护理在慢性创面不愈合患者中的应用效果。方法:采用便利抽样法,选择2017年12月—2020年12月在吉林大学中日联谊医院住院的122例慢性创面不愈合患者为研究对象,按照抽签法分为对照组和观察组。对照组给予常规护理措施,观察组在对照组的基础上,采用痛阈降低护理方案,共护理2周。比较两组患者的创面水肿情况...

关 键 词:伤口愈合  疼痛  疼痛阈值  慢性伤口

Effect of pain threshold reduction nursing in patients with chronic non-healing wounds
Lin Chunmin,Yin Ru,He Dongmei,Sun Lifang.Effect of pain threshold reduction nursing in patients with chronic non-healing wounds[J].Chinese Journal of Modern Nursing,2022(4):437-441.
Authors:Lin Chunmin  Yin Ru  He Dongmei  Sun Lifang
Institution:(Department of Geriatrics,China-Japan Friendship Hospital,Jilin University,Changchun 130033,China;Department of Oncology and Hematology,China-Japan Friendship Hospital,Jilin University,Changchun 130033,China)
Abstract:Objective To explore the effect of pain threshold reduction nursing in patients with chronic non-healing wounds.Methods From December 2017 to December 2020,convenience sampling was used to select 122 patients with chronic non-healing wounds in the China-Japan Friendship Hospital of Jilin University as the research object.According to the lottery method,the patients were divided into the control group and the observation group.The control group conducted conventional nursing,and the observation group carried out the pain threshold reduction nursing on the basis of the control group for a total of 2 weeks of nursing care.Wound edema,wound healing score,wound healing time,wound healing rate,Visual Analogue Scale(VAS)score were compared between the two groups of patients.The hospital stay and medical expenses of the two groups were compared.Results The edema score at 48 hours after operation and wound healing score before discharge in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.01).The wound healing time of the observation group was shorter than that of the control group,and the wound healing rate was higher than that of the control group,and the difference was statistically significant(P<0.01).The VAS scores of patients in the observation group before and after debridement and after nursing were lower than those of the control group,and the difference was statistically significant(P<0.01).The hospital stay and medical expenses of patients in the observation group were less than those in the control group,and the difference was statistically significant(P<0.01).Conclusions Pain threshold reduction nursing can effectively improve the healing of patients'chronic wounds,promote wound repair,and increase the patient's tolerance to pain,further shorten the patient's hospital stay,and reduce the economic pressure of patients.
Keywords:Wound healing  Pain  Pain threshold  Chronic wound
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