疼痛规范护理对开胸术后患者疼痛控制、负性情绪、机体恢复及并发症的影响

Influence of Pain Standard Nursing on Pain Control, Negative Emotion, Body Recovery and Complications in Patients after Thoracotomy

目的探讨临床对开胸术后患者实施疼痛规范护理对其疼痛控制、负性情绪、机体恢复及并发症的影响.方法选择该院2020年1月—2021年3月收治的100例开胸术后患者为研究对象,以随机数表法进行分组,对照组(n=50)采用常规护理,观察组(n=50)采用疼痛规范护理.比较两组术后疼痛情况、护理前后负性情绪、术后相关恢复指标,并统计两组并发症发生情况.结果观察组术后12、24、48 h疼痛评分分别为(4.53±0.75)分、(3.09±0.57)分、(2.72±0.53)分,均低于对照组,组间差异有统计学意义(P<0.05).观察组护理后焦虑自评量表、抑郁自评量表评分分别为(39.16±4.48)分、(37.14±3.84)分,均低于对照组,组间差异有统计学意义(P<0.05).观察组下床、排气、留置胸管、排便时间分别为(28.45±3.04)h、(1.71±0.45)d、(6.42±2.03)d、(3.30±1.13)d,均短于对照组,组间差异有统计学意义(P<0.05).观察组并发症发生率为8.00%,低于对照组的28.00%,差异有统计学意义(P<0.05).结论临床对开胸术后患者予以疼痛规范护理,能够减轻患者的术后疼痛情况,稳定其心理状态,加快其康复进程,并可降低并发症发生风险.

Objective To explore the effect of standardized pain nursing on pain control,negative emotion,body recovery and complications in patients after thoracotomy.Methods A total of 100 patients after thoracotomy who were treated in this hospital from January 2020 to March 2021 were selected as the research objects,and were grouped by random number table method,the control group(n=50)received routine nursing,and the observation group(n=50)received standardized pain nursing.The postoperative pain,negative emotions before and after nursing,and postoperative related recovery indicators were compared between the two groups,and the incidence of complications in the two groups was counted.Results The pain scores of the observation group at 12,24,and 48 h after operation were(4.53±0.75)points,(3.09±0.57)points,and(2.72±0.53)points,respectively,which were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).The self-rating anxiety scale and self-rating depression scale scores of the observation group after nursing were(39.16±4.48)points and(37.14±3.84)points,respectively,which were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).The time of getting out of bed,exhausting air,indwelling chest tube and defecation in the observation group were(28.45±3.04)h,(1.71±0.45)d,(6.42±2.03)d,and(3.30±1.13)d,which were all shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of complications in the observation group was 8.00%,which was lower than 28.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Standardized pain nursing for patients after thoracotomy can reduce postoperative pain,stabilize their psychological state,speed up their recovery process,and reduce the risk of complications.