舒适护理在烧伤患者中的应用效果

Application effect of comfortable nursing in burn patients

目的探讨舒适护理对烧伤患者创面换药时疼痛评分和应激状态的影响。方法选取2015年1月～2018年1月在我院烧伤科住院的患者120例作为研究对象,按照不同的护理方式分为对照组(50例)和研究组(70例)。对照组采用常规护理方式,研究组在对照组基础上给予舒适护理干预,比较两组护理前后两周时创面换药时的疼痛评分和应激状态。结果护理后,两组的疼痛程度及焦虑评分较护理前均有所下降,研究组的创面换药疼痛程度及焦虑得分均低于对照组,差异均有统计学意义(P<0.005);两组的唾液皮质醇水平较护理前均有所改善,但研究组低于对照组,差异有统计学意义(P<0.05)。结论对烧伤患者采取舒适护理可明显缓解患者创面换药时的疼痛感,从而降低患者的应激反应,加快恢复速度,值得临床推广应用。

Objective To explore the effect of comfort nursing on pain score and stress state during burn wound dressing change.Methods From January 2015 to January 2018,120 burn patients hospitalized in the department of burn were selected as the research subjects.According to the different nursing methods,they were divided into in the control group(50 cases)and the study group(70 cases).The patients in the control group were treated with routine nursing,and the study group was given comfort nursing intervention on the basis of the control group.The pain scores and stress state of the two groups were compared before and two weeks after the nursing.Results After nursing,the pain degree and anxiety score of the two groups were lower than those before nursing.The pain degree and anxiety score of the patients in the study group were lower than those in the control group,the differences were statistically significant(P<0.005).The salivary cortisol levels of the two groups improved compared with those before nursing,but the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion For the burn patients,taking comfort nursing care can obviously relieve the pain of the wound dressing,and reduce the stress response and speed up the recovery.It is worthy of clinical application.