综合护理干预对急诊尿路结石患者疼痛的影响

Effect of comprehensive nursing intervention on pain in patients with urolithiasis in emergency

目的探讨综合护理干预对急诊尿路结石患者疼痛的影响,以期为临床上急诊尿路结石患者护理方案的选择提供依据。方法选择2015年10月至2016年4月深圳市龙华区龙华中心医院急诊科收治的102例尿路结石患者,根据随机数表法分为观察组和对照组,每组51例,对照组予常规护理,观察组给予综合护理干预,比较两组患者用药后不同时间疼痛视觉模拟评分(VAS)的变化,以及治疗前后Zung焦虑自评量表(SAS)评分情况。结果用药后0.5 h、1 h,观察组患者的VAS评分分别为(4.9±1.8)分、(3.2±1.3)分,均明显低于对照组的(6.5±2.1)分、(4.3±1.5)分,差异均有统计学意义(P<0.05);治疗后,观察组患者的SAS评分为(44.8±8.7)分,明显低于对照组的(52.1±10.5)分,差异有统计学意义(P<0.05)。结论对急诊尿路结石患者进行积极的综合护理干预可以缓解患者焦虑情绪、减轻疼痛程度。

Objective To investigate the effect of comprehensive nursing intervention on the pain of patients with urinary calculi in emergency, in order to provide a basis for the selection of nursing plan for patients with emergency urolithiasis. Methods A total of 102 cases of urinary calculi treated in the Department of Emergency at Shenzhen Longhua District Central Hospital from October 2015 to April 2016 were randomly divided into an observation group and a control group according to the random number table method, with 51 cases in each group. The control group received routine nursing, and the observation group received comprehensive nursing intervention. The changes of pain visual analogue scale(VAS) score at different time after medication and the Zung self-rating anxiety scale(SAS) score before and after treatment were compared between the two groups. Results At 0.5 h and 1 h after treatment, the VAS scores of the observation group were respectively(4.9±1.8) and(3.2±1.3), which were significantly lower than(6.5±2.1)and(4.3±1.5) in the control group(P<0.05). After treatment, the SAS score of the observation group was(44.8±8.7),which was significantly lower than(52.1 ± 10.5) in the control group(P<0.05). Conclusion Positive comprehensive nursing intervention can relieve the anxiety and alleviate the pain of patients with emergency urinary calculi.