80例泌尿外科术后自控镇痛泵的护理体会

Nursing Experience of Patient Controlled Analgesia Pump in 80 Cases in Department of Urology

为探讨护士对泌尿外科手术后患者实施病人自控镇痛(patient-controlled analgesia,PCA)治疗过程中提供全面护理干预的影响,本研究将我院2014年2月至2016年2月间收治的80例泌尿外科术后患者,按照手术先后顺序划分为对照组(40例)与干预组(40例),其中对照组患者接受PCA期间常规护理措施,干预组重点进行全面镇痛干预措施。我们通过综合考虑患者满意度,患者对临床护理质量的评价及其使用镇痛泵后并发症出现情况及疼痛缓解程度等情况,对PCA治疗过程中护士提供全面护理干预的影响进行了分析。研究显示,对照组患者满意度为77.5%,干预组为95%,干预组明显高于对照组(p<0.05);对照组患者在临床镇痛泵使用指导、并发症预防、病情监测及镇痛护理等方面评分均低于干预组(p<0.05);对照组并发症发生率为15%,干预组为5%,干预组低于对照组(p<0.05);且对照组患者疼痛缓解度为70%,干预组为90%,干预组缓解较好(p<0.05),说明大部分泌尿外科患者在接受了自控镇痛泵的整体护理后对于服务表示满意,且对护理质量评价较高,并发症发生率较低,主诉疼痛改善较好。我们的研究为改善泌尿外科患者的术后护理和治疗提供了一定的临床依据。

To investigate the effect of nursing intervention on the implementation of patient controlled analgesia pump （PCA） in patients after urology operation, 80 patients admitted to the Department of urology in our hospital from February 2014 to February 2016 were selected and divided into control group （40 cases） and intervention group （40 cases） according to the sequence of the operation. The control group received routine nursing measures during the period of PCA, while the intervention group was treated with comprehensive analgesic interventions. We analyzed the effect of comprehensive nursing intervention during PCA through a overall consideration of the satisfaction of patients, the assessment of patients on clinical nursing quality, the occurrence of complications after the use of PCA pump and the degree of pain relief. The results showed that the satisfaction of control group and intervention group were 77.5% and 95%, respectively, and the intervention group was significantly higher than the control group （p〈0.05）; the scores of control group in clinical analgesia pump guide, complications prevention, disease monitoring and analgesia care were all lower than those of the intervention group （p 〈0.05）; the incidence of complication in control group was 15%, while that in intervention group was 5%, which showed that the controlgroup was significantly higher than the intervention group （p 〈0.05）. In addition, the pain relief degree in control group was 70%, but that in the intervention group was 90%, indicating the relief degree of the intervention group was better （p 〈0.05）. The results of this study demonstrated that most of the patients in Department of urology were satisfied with the service after the holistic nursing of the PCA. Also, they had a higher assessment on the quality of nursing service, lower occurrence rate of complications and better chief pain relief. Our study might provide clinical reference for the postoperative care and treatment of patients in Department of urology.