预警宣教联合个性化疼痛管理对腹股沟疝手术患者的影响

Effect of early-warning education combined with personalized pain management on patients undergoing inguinal hernia surgery

目的探究预警宣教联合个性化疼痛管理对腹股沟疝修补术患者的影响。方法回顾性分析2020年1月至2022年10月天长市人民医院收治的80例行腹股沟疝修补术的患者的临床资料。依据护理方法的不同,将常规护理的患者纳入对照组(n=40),预警宣教联合个性化疼痛管理干预的患者纳入观察组(n=40)。比较2组患者疼痛程度、并发症(尿潴留、切口感染、便秘)发生情况、生活质量。结果2组干预后Wong-Baker面部表情疼痛量表(FPS-R)评分均下降,观察组较对照组更低(P<0.05);干预前后FPS-R评分的差值比较,观察组高于对照组(P<0.05)。观察组术后并发症发生率5.00%低于对照组的25.00%,差异有统计学意义(P<0.05)。2组干预后生活质量评定问卷(GQOL-74)各评分均上升,观察组高于对照组(P<0.05);干预前后GQOL-74各项评分的差值比较,观察组高于对照组(P<0.05)。结论采用预警宣教联合个性化疼痛管理对腹股沟疝修补术患者实施干预可减轻患者疼痛程度、降低并发症发生率同时提升患者生活质量。

Objective To investigate the effect of early-warning education combined with personalized pain management on patients undergoing inguinal hernia surgery.Methods The clinical data of 80 patients who underwent inguinal hernia surgery in Tianchang People's Hospital from January 2020 to October 2022 were analyzed retrospectively.According to different nursing methods,patients receiving routine nursing intervention were included in the control group(n=40),and those receiving early-warning education combined with personalized pain management intervention were included in the observation group(n=40).Pain degree,the incidence of complications(urinary retention,incision infection,constipation)and quality of life were compared between the two groups.Results After intervention,the Wong-Baker FACES pain rating scale(FPS-R)scores of both groups decreased,and scores of the observation group were lower than those of the control group(P<0.05).The difference in FPS-R score before and after intervention in the observation group was higher than that in the control group(P<0.05).The total incidence of postoperative complications in the observation group(5.00%)was lower than that in the control group(25.00%)(P<0.05).After intervention,the Generic Quality of Life Inventory-74(GQOL-74)scores increased in both groups,and scores of the observation group were higher than those of the control group(P<0.05).The difference in scores of the GQOL-74 before and after intervention was higher in the observation group than the control group(P<0.05).Conclusion Applying early-warning education combined with personalized pain management in the intervention of patients undergoing inguinal hernia surgery can relieve pain,reduce the incidence of complications and improve quality of life.