握手抚慰联合呼吸指导对烧伤患者创面换药疼痛的影响

Effect of handshake and consolation combined with breathing direction on the pain during dressing changes for the burn patients

目的 探讨握手抚慰联合呼吸指导对烧伤患者创面换药疼痛的影响.方法 将64例患者按照入院顺序分为实验组和对照组,每组32例,对照组实施常规护理,实验组换药时在常规护理基础上实施握手抚慰联合呼吸指导的方式.两组患者均由同一名医师使用相同的换药方法,并由同一名护士对换药前后进行疼痛评分,换药时实施护理干预,比较两组患者3次换药前后疼痛评分.结果 换药前实验组和对照组疼痛评分分别为（3.79±2.27）,（3.85 ±2.46）分,差异均无统计学意义（t=0.147,P＞0.05）.换药后实验组和对照组疼痛评分分别为（2.17±1.53）,（4.30±2.98）分,换药后实验组疼痛程度均低于对照组,差异有统计学意义（t=6.796,P＜0.01）.结论 握手抚慰联合呼吸指导可缓解患者换药时所产生的疼痛.

Objective To evaluate the influence of handshake and consolation combined with breathing direction on the pain during dressing changes for the burn patients.Methods 64 patients were randomly divided into the experimental groups and the control groups according to their time of hospitalization,with 32 cases in each group.Patients in the experimental group were given the handshake and consolation combined with breathing direction during the dressing changes,while the control group was given routine care.Two groups used the same dressing method by the same physician,and cared by the same nurse before and after dressing.Pain scores （visual analogue scale VAS） were compared between the two groups before and after dressing changes.Results Before dressing,the pain scores of patients in the two groups were respectively （3.79 ± 2.27） and （3.85 ± 2.46）,and there was no significant difference （t =0.147,P 〉 0.05）.After dressing,the pain scores of the experimental and the control groups were respectively （2.17 ± 1.53）and（4.30 ± 2.98）,and the difference was statistically significant （t =6.796,P 〈 0.01）.Conclusions The handshake and consolation combined with breathing direction can effectively ease pain in the burns patients during dressing changes.