同质化管理在老年慢性疼痛护理中的应用

Effects of homogeneity management in elderly chronic pain nursing

目的探讨同质化管理在老年慢性疼痛护理中的应用效果。方法采用便利抽样法，选取福建医科大学附属闽东医院2016年6月-2017年5月收治的84例老年慢性疼痛患者为观察组，实施慢性疼痛护理同质化管理。2015年1月-2016年5月收治的84例患者为对照组，实施常规护理。采用VAS评分、满意度调查问卷和健康调查简表（SV-36）比较两组患者疼痛情况、护理满意度和生活质量。结果干预30d后观察组患者VAS评分为（2．09±0．55）分，对照组（3．47±0．53）分，差异有统计学意义（t=16．559，P〈0．01）。观察组患者对护理满意度92．86％，对照组为67．86％，差异有统计学意义（x2=16．630，P〈0．01）。干预3个月后观察组患者sF-36量表各维度评分均高于对照组，差异有统计学意义（P〈0．05）。结论老年慢性疼痛护理中应用同质化管理模式效果理想，可有效缓解患者疼痛，提高患者的护理满意度和生活质量。

Objective To explore the effects of homogeneity management in elderly chronic pain nursing. Methods In Mindong Hospital, Affiliated to Fujian Medical University, we selected 84 elderly patients with chronic pain by convenience sampling as observation group from June 2016 to May 2017 carrying out chronic pain nursing homogeneity management. And we selected 84 patients as control group from January 2015 to May 2016 implementing conventional nursing. The Visual Analogue Scale （VAS）, satisfaction questionnaire and Medical Outcomes Study 36-item Short-Form Health Survey （SF-36） were used to compare the pain, satisfaction with nursing and life quality of patients between two groups. Results The score of VAS of patients in observation group and control group was （2.09 ± 0.55） and （3.47± 0.53） respectively 30 days after intervention with a significant difference （t=16.559, P 〈 0.01）. The satisfaction with nursing of observation group and control group was 92.86% and 67.86% respectively with a significant difference （ X 2=16.630, P 〈 0.01）. The dimensions scores of SF-36 of patients in observation group were significantly higher than those in control group three months after intervention （P 〈 0.05）. Conclusions Application of homogeneity management has an ideal effect in elderly chronic pain nursing. It can effectively ease patients＇ pain and improve patients ＇ satisfaction with nursing as well as life quality.