应用家庭护理模式提高吗啡自控镇痛泵患者舒适度的护理研究

Nursing Research on Improving the Comfort of Patients with Morphine-controlled Analgesia Pump by Using Home Nursing Model

目的寻找提高吗啡自控镇痛泵患者舒适度的有效护理方法,旨在提高家庭护理服务质量。方法采用随机数字表法选择安装吗啡鞘内泵患者60例,对照组(30例)采用常规护理,观察组(30例)采用家庭护理模式护理,应用评价工具来判断疼痛、舒适度,研究两组患者护理干预后疼痛、舒适度的影响有无差异。统计两组患者的舒适度及对护理工作质量满意度。结果两组患者护理干预后疼痛、舒适度、满意度比较差异有统计学意义(P<0.05,P<0.01)。观察组患者应用家庭护理模式后能有效减轻疼痛,提高舒适度,患者对护理工作质量满意度明显提升。结论实施家庭护理模式能有效减轻疼痛,提高患者自控镇痛过程的舒适度,患者对护理工作质量满意度高。

Objective To find an effective nursing method for improving the comfort degree of patients with morphine analgesia pump, and to improve the quality of nursing service. Methods With the random number table method, 60 cases of patients who have intrathecal morphine pump were chosen. Control group（30 cases） were attended in routine way, while the observation group（30 cases） were cared in the family nursing mode. Application of evaluation tools are employed to assess the degree of pain and comfort, thus judging whether different nursing interventions result in difference in the comfort degree of patients and their satisfaction level on nursing quality. Results The differences in the two groups of pain, comfort of patients and their satisfaction after nursing interventions were statistically significant（P〈 0.01, P 〈0.05）. After the application of family nursing mode, pain of the observation group has been effectively reduced, comfort improved and patients＇ assessments of the quality of care were also significantly improved. Conclusion The implementation of family nursing mode is effectively helpful in reducing patients＇ pain, improving comfort degree in their self-controlled analgesia process and patients have an increased and higher level of satisfaction for nursing service.