护理干预对普外科患者术后疼痛的影响分析

Analysis of nursing intervention on the pain in general surgery patients after surgery

目的探讨护理干预对减轻普外科患者术后疼痛的临床疗效。方法选取2013年8月至2016年6月我院普外科手术患者96例作为研究对象,按护理方式分为2组,常规组患者给以常规护理,干预组在常规护理的基础上给予护理干预措施。采用视觉模拟评分法(visual analogue scale,VAS)评价2组患者术后6、24、72 h疼痛程度,比较2组患者术后镇痛药服用次数及术后住院时间;采用抑郁自评量表(self-rating depression scale,SDS)与焦虑自评量表(self-rating anxiety scale,SAS)对2组患者进行心理健康评价。结果干预组24、72 h VAS评分、镇痛药服用次数及术后住院时间均显著低于常规组,差异有统计学意义(P<0.05);护理前后2组患者SDS与SAS评分均差异有统计学意义(P<0.05)。结论护理干预能有效减轻普外科患者术后疼痛,提高患者疼痛耐受程度,缩短术后恢复时间。

Objective To investigate the clinical effect of nursing intervention on the alleviation of pain in general surgery pa-tients after surgery. Methods Ninety-six patients who received surgery from August 2013 to June 2016 in the General Surgery Depart-ment of the hospital were enrolled as research subjects. In accordance with different nursing methods, the patients were divided into the routine nursing group that just received conventional nursing and the intervention group that was given special nursing intervention in ad-dition to routine nursing. Six, 24 and 72 hours after surgery, the seriousness of pain was evaluated by using visual analogue scale （VAS） . The number of analgesic medication and day of stay in the hospital were compared between the patients of the 2 group after sur-gery. Evaluation of mental health was made by using self-rating depression scale （SDS） and self-rating anxiety scale （SAS） in the pa-tients of the 2 groups. Results Twenty-four and 72 hours after surgery, VAS scores, the number of analgesic medication and days of hospitalization in the intervention group were significantly lower that those of the routine group, and statistical significance could be not-ed ,when comparisons were made between the 2 groups （ P 〈 0. 05 ）. Statistical differences could also be noticed in the scores of SDS and SAS in the patients of the 2 groups, when comparisons were made between pre-nursing and post-nursing intervention （ P 〈 0. 05 ） . Conclusion Nursing intervention could effectively alleviate pain after surgery, improve pain tolerance of the patients and shorten recov-ery time after surgery.