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| 漏斗胸患儿术后急性疼痛护理的临床应用效果 |
| The clinical effect of nursing care for postoperative acute pain in children with pectus funnel |
| 投稿时间：2020-10-15 |
| DOI：10.3969/j.issn.1000-0399.2021.03.022 |
| 中文关键词: 漏斗胸 手术 急性疼痛 护理 效果 |
| 英文关键词: Funnel chest Surgery Acute pain Nursing Efficacy |
| 基金项目:安徽省卫生健康委厅级科研基金项目（项目编号：AHWJ2021b143） |
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| 中文摘要: |
| 目的 探讨漏斗胸患儿术后急性疼痛护理的临床应用效果。方法 选择2018年1月至2019年12月安徽省儿童医院胸外科行漏斗胸微创矫正（Nuss）术的163例患儿，采用随机数字表法，分为观察组（n=82）与对照组（n=81）。对照组术后采取传统疼痛护理，观察组术后采取急性疼痛护理。比较两组患儿术后疼痛评分、疼痛缓解率、情绪睡眠情况、住院天数及家属满意度的差异。结果 两组患儿术后视觉模拟量表（VAS）评分比较，差异有统计学意义（P<0.05）。术后VAS评分随时间的推移有逐渐下降的趋势，术后不同时间点VAS评分差异有统计学意义（P<0.05）。不同疼痛干预方法和时间对VAS评分有交互作用（P<0.05）。观察组患儿情绪评分、住院天数均低于对照组，差异有统计学意义（P<0.05）；疼痛缓解率、睡眠质量评分、家属总体满意度高于对照组，差异均有统计学意义（P<0.05）。结论 急性疼痛护理可有效降低漏斗胸患儿术后疼痛评分，改善患儿术后情绪及睡眠，促进术后快速康复，提高家属满意度。 |
| 英文摘要: |
| Objective To explore the clinical effect and value of nursing acute pain after operation for children with funnel chest. Methods A total of 163 cases of children who underwent NUSS in the Department of Chest Surgery of Anhui Provincial Children’s Hospital from January 2018 to December 2019 were selected as the research objects and randomly divided into observation group (n=82) and control group (n=81). The control group received traditional postoperative pain care, and the observation group received acute postoperative pain care. The postoperative pain score, total pain relief rate, mood, sleep, length of hospital stay and family satisfaction were compared between the two groups.Results The difference in postoperative VAS scores between the two groups was statistically significant (P<0.05).The postoperative VAS score decreased gradually with the passage of time. The difference in VAS scores at different time points after operation was statistically significant(P<0.05).Different pain intervention methods and time had interaction effect on VAS score (P<0.05).The emotional score and hospitalization days in observation group were all lower than those in control group (P<0.05).The pain relief rate, scores of sleep quality, the overall satisfaction of family members were significantly higher than those in control group(P<0.05).Conclusions The acute pain nursing can effectively reduce the postoperative pain score of children with funnel chest, improve postoperative mood and sleep, promote the rapid recovery after surgery, and improve family satisfaction. |
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