摘要
目的探讨围手术期共情沟通对疝修补术患者术后慢性疼痛的影响。方法行改良Kugel疝修补术患者60例随机均分为两组。C组采用疝修补术常规围手术期护理,A组在常规护理基础上实施围手术期共情沟通。比较两组患者的焦虑自评量表(SAS)评分、术后VAS疼痛评分、住院时间和术后慢性疼痛的发生情况。结果A组患者术前1d和术后3d的SAS评分低于C组(P<0.05)。A组术后1、3d的VAS疼痛评分低于C组(P<0.05)。A组术后住院时间少于C组(P<0.05)。A组患者满意度高于C组(P<0.05)。A组无慢性疼痛发生病例,C组2例出现慢性疼痛。结论实施围手术期共情沟通能有效降低改良Kugel疝修补术患者术后焦虑情绪,缩短住院时间,提高患者的手术满意度,减少术后慢性疼痛的发生。
Objective To study the effect of perioperative empathy communication on the prevention chronic pain in the patients undergoing inguinal hernia repair.Methods The modifiedKugel tension-free inguinal herniorrhaphy was performed in 60 patients with inguinal hernia,who were nursed by conventional perioperative care(group C,30 cases)or by additional perioperative empathy communication care(group A,30 cases).The anxiety score,postoperative VAS pain score,hospital stay,and incidence of postoperative chronic pain were compared between two groups.Results The self rating anxiety scale(SAS)scores were significantly lower in group A than those in group C on one day before operation and on the second day after operation(P〈0.05).The VAS pain scores were significantly lower in group A than those in group C on the 1^ st and 3^ rd day after surgery(P〈0.05).The postoperative hospital stay was significantly shorter in group A than that in group C(P〈0.05).The postoperative satisfaction to the treatment was higher in group A than that in group C(P〈0.05).The patients were followed up for 6 months,which showed that there was no any case in group A with postoperative chronic pain while postoperative chronic pain was seen in 2 cases of group C.Conclusion Perioperative empathy communication can effectively reduce the anxiety of the patients undergoing modified-Kugel tension-free inguinal herniorrhaphy,shorten hospital stay and improve the satisfaction of patient to the treatment.
作者
周纯
王鹏
ZHOU Chun;WANG Peng(Special Needs Medical Department,Affiliated Hospital,Nantong University,Nantong 226001,CHINA)
出处
《江苏医药》
CAS
2018年第10期1186-1188,共3页
Jiangsu Medical Journal
关键词
共情沟通
慢性疼痛
改良Kugel疝修补术
Empathy communicatiom
Chronic paim
Modified-Kugel tension-free inguinal herniorrhaphy