循证护理应用于胆囊结石患者腹腔镜治疗术后疼痛的效果观察

Effect observation of applying evidence- based nursing in postoperative pain for gallstone patients received laparoscopic surgery

目的探讨循证护理在胆囊结石腹腔镜治疗术后疼痛的临床疗效。方法选择2012年3月至2013年3月期间在我院进行治疗的90例胆囊结石腹腔镜治疗术患者作为临床研究对象,随机将其分为研究组和对照组,每组45例,两组患者在行腹腔镜治疗术后均给予常规药物及护理,而研究组患者则在此基础上给予针对性的循证护理干预方案,并分别对两组患者的疼痛原因和疼痛程度以及疼痛持续时间进行比较和分析。结果两组患者的疼痛原因主要集中在创口疼痛、牵涉痛、胆漏等三个方面。与对照组相比,研究组患者的NRS评分值明显改善,同时疼痛持续时间明显缩短,并且差别均具有统计学意义(P<0.05)。结论循证护理对于胆囊结石腹腔镜治疗术患者术后疼痛症状的改善和手术效果的提升均具有积极的现实意义。

Objective To probe into the clinical effects of applying evidence - based nursingin postoperative pain for gallstone patients received laparoscopic surgery. Methods 90 gallstone patients treated with laparoscopic surgery in our hospital during March 2012 to March 2013 were selected as study subjects. The patients were divided into study group and control group randomly and 45 cases in each group. All the patients were treated with routine care, moreover, the patients in study group were treated with targeted evidence -based nursing interventions. The causes of pain, pain severity and duration of pain of the patients in two groups were compared and analysis. Results The causes of pain for patients in both groups were mainly concentrated in three aspects including the wound pain, referred pain and bile leakage. Compared with control group, NRS scores of patients in study group were significantlyimproved, and the duration of pain was shorted, the differences between the two groups were statistically significant （P 〈 0. 05 ）. Conclusions For gallstone patients treated with laparoscopic surgery, evidence -based nursing has positive practical significance in improving postoperative pain symptoms and enhancing the surgical effects.