NBASS-APS模式在白内障患者术后疼痛所致焦虑抑郁及护理满意度的效果研究

Effect of the NBASS-APS on the Anxiety or Depression and Nursing Satisfaction caused by the Postoperative Pain in the Cataract Patient

目的:探究以护士为基础、以麻醉医师和专科为指导的急性疼痛服务模式(nurse-based,anesthesiologist and specialist-supervised APS,NBASS-APS)护理白内障患者术后的疼痛、焦虑抑郁等负性情绪以及临床预后效果和患者满意的作用。方法:将临床124例白内障术后患者随机分为62例对照组和62例观察组,对照组采用传统疼痛护理模式,观察组采用NBASS-APS护理模式,采用视觉模拟(visual analog scale,VAS)量表评估患者术后疼痛的强度;采用自评焦虑量表(Self-rating Anxiety Scale,SAS)和自评抑郁量表(Self-rating Depression Scale,SDS)分别评估两组患者的护理前后的焦虑以及抑郁水平;通过检测患者术后视力值以及术后并发症等评估临床预后效果;通过调查问卷法调查患者的护理满意度。结果:观察组的疼痛改善程度与对照组相比具有显著性差异(P<0.05);观察组患者的焦虑抑郁水平与对照组相比显著下降,具有统计学差异(P<0.05),同时,观察组的视力显著升高,与对照组相比具有统计学意义(P<0.05),此外,观察组患者对临床护理的满意度明显高于对照组(P<0.05)。结论:NBASS-APS模式能够有效缓解白内障患者术后疼痛,改善术后疼痛所致焦虑抑郁等症状,提高临床预后效果和患者对护理的满意度。

Objective： To evaluate the effectiveness of the nurse-based,with anesthesiologist andspecialist-supervised acute pain management model（NABSS-APS） on the postoperative pain,anxiety or depression,clinical prognosis and the nursing satisfaction in the cataract Patient. Methods： Totally 124 cataract patients were randomly divided into observation group（n = 62） and control group（n = 62）. The observation group was given with the NABSS-APS while the control group was given traditional acute pain service. The postoperative pain was evaluated by the visual analog scale（VAS）. The anxiety or depression emotions were assessed by the Self-rating Anxiety Scale（SAS） or Self-rating Depression Scale（SDS）. The vision value and complication after the operation were tested to observe the clinical prognosis and the nursing satisfaction were tested by the questionnaire. Results： The pain of the observation group was significantly decreased when compared the control group（P 〈0.05） while the anxiety and depression of the observation group were significantly alleviated as compared with the control group（P 〈 0. 05）. Besides,the vision value was improved as well as the complication was decreased in the observation group which were different with the control group（P 〈 0.05）. And the nursing satisfactions in the observation group were improved significantly between with the control group. Conclusion： The NBASS-APS could alleviate the postoperative pain and further to relieve the anxiety and depression symptom which reduce the complication,improve the clinical prognosis and nursing satisfaction.