疼痛教育对鼻部术后患者疼痛认知度及术后康复的影响

Effects of initiative pain education on the pain awareness and postoperative rehabilitation in patients undergone nasal endoscopy

目的:通过疼痛教育,提高住院患者对术后疼痛及疼痛控制的认知度及术后镇痛的接受程度。方法:将124例拟施行鼻部手术患者随机分为实验组和对照组,各62例。实验组由床位护士进行疼痛教育,对照组则未进行。术后统计患者要求镇痛的例数、镇痛的效果、术后睡眠时间及抽出膨胀海绵后鼻出血情况等。结果:实验组术后要求镇痛的例数、镇痛的效果均明显高于对照组,术后睡眠时间显著长于对照组,术后抽出膨胀海绵后鼻出血情况明显少于对照组(P<0.05)。结论:通过疼痛教育可以提高患者对术后疼痛控制的认知度及术后镇痛的接受度,减少术后出血的几率,促进患者术后康复。

Objective：To improve the patients＇ awareness on the pain and postoperative pain control as well as pain tolerance through preoperative education. Methods ： One hundred and twenty-four patients received nasal endoscopy were randomized equally into interventional group and control group. The interventional group were given initiative pain education by the responsible nurse, whereas the education was free for the control group. The information was collected and statistically analyzed concerning cases of voluntary postoperative analgesia, analgesic effects, sleeping quality and sinus hemorrhage after with- drawal of the fillings. Results ： The interventional group had fewer voluntary analgesia, better analgesic effects and sleeping quality, and less incidence of sinus hemorrhage after removal of the fillings than the controls （P 〈 0. 05 ）. Conclusion：Initiative pain education can significantly improve the patients＇ awareness on, active control of and tolerance to the postoperative pain, reduce the incidence of sinus hemorrhage and promote early recovery of patients after nasal endoscopy.