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| 规范化疼痛评估在肝脏外科临床护理实践中的应用效果 |
| Effect of standardized pain assessmentin theclinical nursing practice ofhepatic surgery |
| 投稿时间：2015-05-09 修订日期：2015-06-26 |
| DOI：10.3969/j.issn.1000-0399.2015.08.032 |
| 中文关键词: 规范化疼痛评估 护理实践效果 肝脏外科 |
| 英文关键词: Standardized pain assessment Clinical nursing practice Hepatic surgery |
| 基金项目:国家自然科学基金资助项目(81172364),安徽省科技攻关资助项目(1301042199),安徽省卫生厅医学科研重点基金资助项目(2010A006) |
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| 中文摘要: |
| 目的 探讨规范化疼痛评估在肝脏外科临床护理实践中的应用效果。方法 将某三甲医院肝脏外科182例行开腹肝切除手术患者按入院时间分为两组,2013年6月～11月入院的85例患者为对照组(传统疼痛评估组),2013年12月～2014年5月入院的97例患者为观察组(规范化疼痛评估组)。观察组按照统一的疼痛评估频次、时机,定时、规律地对患者实施规范化疼痛评估;对照组在患者出现疼痛难忍时护士即刻评估患者疼痛。分析两组患者对疼痛管理满意度,手术当日睡眠时长,48 h内疼痛评分,术后主动翻身活动时间等。结果 182例患者中94.85%的患者主动报告个人疼痛;疼痛管理满意度观察组为93.82%,对照组为50.59%,手术当日睡眠时长观察组平均为(5.48±0.74)h,对照组为(4.16±1.07)h,手术后主动开始活动时间观察组平均是(9.7±6.4)h,对照组为(21.1±5.6)h,术后24小时疼痛评分观察组平均为(2.39±1.14)分,对照组为(3.30±1.33)分,上述观察组数据均优于对照组,两组比较差异均有统计学意义(P <0.05)。结论 规范化疼痛评估,能提高肝脏外科患者疼痛控制满意度和舒适度,促进患者参与,减轻患者痛苦,促进患者快速康复。 |
| 英文摘要: |
| Objective To discuss the effect of standardized pain assessment in theclinical nursing practice of hepatic surgery.Methods A total of 182 patients withhepato-cellularcarcinoma (HCC)were enrolled in this study, and were divided into two groupsaccording to the admission date. 97 patientshospitalized from Dec2013 to May 2014 were in thestudy group, which received standardized pain assessment by nurseswith sheduled frequency, timing and method. 85 patients hospitalized from Jun 2013 to Nov 2013 were in thecontrol group, which received traditional pain assessmentwhenever theyreported their severe pain to nurses.After surgery,thepatients', satisfaction rateto pain management, sleep duration of the operationday, pain scores within 48 hours and time of active roll-overbetween the two groups were compared. Results 94.85% of patients ever reportedseverepain to nurses. The patients' satisfaction rateto pain management inthestudy group was 93.82%, and in the control group was 50.59%.The average sleep duration ofthe operationdayinthe two groupswere (5.48±0.74) hours and(4.16±1.07)hours, respectively. The averagetime of active roll-over inthe two groupswere (9.7±6.4) hours and (21.1±5.6)hours, respectively. The respectivepain scores at 24 hours after surgery inthe two groupswere (2.39±1.14) pointsand (3.30±1.33) points. The above results inthe study group were alwaysbetter than those in the control group, and their differences were statistically significant (P <0.05). Conclusion Application of thestandardized pain assessment systemcould improve satisfaction rateto pain management, relieve postoperative pain, andpromote rapid recovery in patientsafter hepatic surgery. |
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