老年泌尿系结石手术后疼痛的护理干预分析

Analysis on Pains Nursing Intervention in Senile Patients after Urinary Calculi Surgery

目的对老年泌尿系统结石手术后疼痛行护理干预的效果分析以及满意度评价。方法选取2015年11月至2016年11月我院接受手术治疗的泌尿系结石患者206例作为研究对象,根据护理方式不同,将患者分为观察组和对照组,对照组采用术后一般护理,观察组在一般护理基础上加强痛疼护理干预。采用视觉模拟量表(VAS)对患者疼痛情况进行评分,观察并记录两组疼痛缓解时间和不同时间段(3 h以内、3~8 h、9~15 h、15 h以上)疼痛缓解患者数量。结果观察组疼痛平均缓解时间为术后(8.34±2.87)h,对照组疼痛平均缓解时间为术后(13.26±3.12)h,观察组疼痛平均缓解时间较对照组显著较早(P<0.05)。两组各时间段疼痛缓解患者例数不同,差异有统计学意义(P<0.05)。观察组护理干预后,患者对护理人员总满意度(85.44%)显著高于对照组(61.17%)(P<0.05)。结论对老年泌尿系统结石手术后疼痛行护理干预,可以尽早缓解患者术后疼痛,提高患者对护理人员满意度。

Objective To analyze the effects of pains nursing intervention in the senile patients after urinary calculi surgery and evaluate its degree of satisfaction.Methods 206 cases of senile patients who had been given urinary calculi surgery in our hospital during November 2015 and November 2016 were selected as the study objectives.According to the different ways of nurs- ing, the patients were divided into observation group and contrast group.Patients in the contrast group were given general nursing af- ter surgery,while patients in the observation group were given intensive pains nursing intervention based on the general nursing. Score the patients＇ pain condition by adopting VAS.Observe and record the pain easement time as well as the number of patients that had pain easement during different time period （within 3 h,3-8 h,9-15 h and above 15 h）.Evaluate the degree of satisfaction by adopting the questionnaires made by our hospital.Results The average time of pains easement after surgery in the observation group （8.34±2.87） h was significantly earlier than the contrast group （13.26±3.12） h （P〈0.05）.The number of patients that had pains easement during different time periods in both groups was various.The difference showed a statistical signifieance（P〈O.05 ）.Af- ter nursing intervention, the total degree of satisfaction in the observation group （85.44%） was significantly higher than the contrast group （61.17%）（P〈0.05）.Conclusion Pain nursing intervention in senile patients after urinary calculi surgery can relieve the pa- tients＇ post-operative pains and increase the degree of satisfaction for nursing.