精益护理对下颌前突畸形矫正术后疼痛的影响研究

Effect of Lean Nursing on Pain in Patients after the Correction of Mandibular Protrusion Deformity

目的:探讨精益护理对下颌前突畸形患者矫正术后疼痛的影响。方法:收集2016年1月-2017年12月在本院接受下颌前突畸形矫正术的患者60例,按照双盲随机对照法分为对照组和观察组,每组30例。对照组进行一般护理,观察组在对照组基础上进行精益护理,包括高效化术前护理、舒适化术中护理及精细化术后护理。术后第1天,采用视觉模拟量表(Visual analogue scale,VAS)、语言评价量表(Verbal rating scales,VRS)评估两组患者的疼痛感受。结果:术后第1天,观察组患者的VAS评分值显著低于对照组患者,VRS评定对照组平均秩次高于观察组,组间比较差异有统计学意义(P<0.05)。结论:精益护理可以减轻患者术后疼痛感受,缓解不适,具有良好的临床效果,值得推广应用。

Objective To study the infuence of lean nursing on pain in patients who underwent mandibular protrusion plastic surgery. Methods Sixty patients who underwent mandibular protrusion plastic surgery in our hospital from January 2016 to December 2017 were selected as research subject. All patients were divided into the control group and the observation group according to double-blind randomized method, each group had thirty cases. The patients in the control group were treated with routine care, the observation group were treated with lean nursing on the basis of the control group, including effcient preoperative nursing, comfortable intraoperative nursing and intensive postoperative nursing. One day after surgery, pain perception was assessed by using visual analogue scale （VAS） and verbal rating scales （VRS）. Results One day after surgery, the VAS score of the observation group was signifcantly lower than that of the control group, the mean rank of the control group in VRS score was higher than that of the observation group, the difference between the two groups were statistically significant（P〈0.05）. Conclusion Lean nursing can relieve postoperative pain and discomfort in patients, which is worth promoting for good clinical results.