微创漏斗胸矫形术患儿的超前镇痛护理

Nursing of Preemptive Analgesia for Children Patients Undergoing Minimally Invasive Repair of Pectus Excavatum

总结22例微创漏斗胸矫形术患儿应用超前镇痛护理理念指导临床工作的经验。从确定手术即开始细致的疼痛宣教,使患儿及家属了解超前镇痛的意义,学习观察或表达疼痛的方法;为患儿及家属实施心理护理,经过交流,使家属改变其认识误区,乐于接受超前疼痛护理;为患儿实施科学的疼痛评估,特别是掌握超前镇痛评估内容,以及时提醒医生把握用药时机;做好药物镇痛护理的同时,根据疼痛记录分析疼痛规律,指导超前镇痛的护理。本组患儿均顺利完成手术,无并发症发生,住院时间3～10 d,平均5.5 d,满意出院,随访半年,未出现钢板移位。

This paper summarized nursing of preemptive analgesia for children patients undergoing minimally invasive repair of pectus excavatum.Delicate preoperative pain education to learn to observe and express pain and psychological nursing to reduce uneasy and to receive preemptive analgesia were provided for patients and their parents.Scientific pain assessment was carried out and great importance was attached to the assessment of preemptive analgesia.Nursing of analgesia with medicine was accompanied with guidance for preemptive analgesia based on pain laws form recordings.There was no occurrence of complications from patients in this study whose hospitalization time varied from 3 to 10 days with average of 5.5 days.Half a year follow-up showed no transportation of plate.