耳穴埋豆联合穴位贴敷护理干预对肛肠疾病术后患者疼痛缓解状况的影响

Effects of nursing intervention with seed-embedding at otopoints and acupoint application for relieving pain after surgery for proctorectal diseases

目的探讨耳穴埋豆联合穴位贴敷护理干预在肛肠疾病术后患者疼痛缓解中的应用价值。方法选择2015年1月~2017年2月因肛肠疾病于我院行手术治疗的患者86例,采用随机数字表法将其分为对照组、观察组,每组43例。则联合耳穴埋豆及穴位贴敷护理干预,7 d为1个疗程。比较两组护理前后疼痛情况,比较两组护理满意度及临床疗效差异。结果两组患者治疗前疼痛评分差异无统计学意义(P>0.05),具有可比性。护理后观察组疼痛评分低于对照组,差异有统计学意义(P<0.05);观察组总有效率97.67%,高于对照组的81.40%,差异有统计学意义(χ2=6.081,P<0.05)。观察组患者的总满意率95.35%,高于对照组的76.74%,差异有统计学意义(P<0.05)。结论对于肛肠疾病术后患者而言行耳穴埋豆联合穴位贴敷护理干预具有重要意义,可有效缓解疼痛,提高护理满意度,值得推广。

Objective To explore the application value of nursing intervention with seed-embedding at otopoints and acupoint application for relieving pain after surgery for proetorectal diseases.Methods 86 patients who received surgical treatment for proctorectal diseases in our hospital from January 2015 to February 2017 were included in the study,and were assigned,using random number table,to the control group including 43 patients to receive conventional care,or the observation group including 43 patients to receive conventional care combined with nursing intervention with seed-em- bedding at otopoints and aeupoint application,both for a treatment course of 7 days.The changes in pain before and after nursing care were compared between the two groups,and the two groups were compared for any differences in satisfaction with nursing care and clinical efficacy.Results After nursing care,there were improvements in VAS score in both groups,and the improvement was greater in the observation group,with statistically significant difference（P〈0.05）;the overall satisfaction rate was higher in the observation group （95.35%） than in the control group （76.74%）,with statistically significant differences（P〈0.05）;the total effective rate was higher in the observation group （97.67%） than in the control group （81.40%）（X^2=6.081,P〈0.05）.Conclusion Nursing intervention with seed-embedding at otopoints and acupoint application is significant for patients who have underwent surgery for proctorectal diseases,as it could effective relieve pain and im- prove satisfaction with nursing care,supporting its further clinical application.