疼痛管理干预对食管癌规范化治疗患者术后疼痛与情绪及护理满意度影响

Effect of pain management intervention on postoperative pain,mood and nursing satisfaction in patients with standardized treatment of esophageal cancer

目的分析疼痛管理干预对食管癌规范化治疗患者术后疼痛与情绪及护理满意度影响。方法选取2016年1月-2018年1月期间在绵阳市中心医院接受食管癌规范化治疗并符合纳入标准的患者128例,随机分为研究组和对照组,每组各64例。对照组术后进行常规护理,研究组术后在常规护理的基础上,进行疼痛管理干预。采用数字评分量表(NRS)对患者术前及术后1、2、4d疼痛程度进行评估;采用焦虑自评定表(SAS)和抑郁自评定表(SDS)对患者术前及术后1w情绪状态进行评定;采用匹斯堡睡眠质量指数(PSQI)对患者术前及术后1w睡眠情况进行评定;采用满意度调查问卷形式评估患者护理满意度,记录患者下地时间、住院时间及并发症发生率。结果研究组术后各时段NRS评分显著低于对照组,研究组各阶段NRS评分依次降低,差异有统计学意义(P <0.05);研究组术后SAS及SDS评分[(42.52±3.84)分、(43.26±3.78)分]均分别低于对照组评分[(49.15±4.21)分、(52.21±4.26)分],差异有统计学意义(P <0.05);研究组术后PSQI评分、下地时间、住院时间、并发症发生率均显著低于对照组,差异均有统计学意义(P <0.05);研究组护理满意度(92.2%)显著高于对照组(70.3%),差异有统计学意义(P <0.05)。结论疼痛管理干预能有效减轻食管癌规范化治疗术后疼痛,改善患者抑郁、焦虑情绪,改善睡眠质量,帮助患者更好更快恢复,同时降低并发症发生率,提高护理满意度,值得临床推广应用。

Objective To analyze the effects of pain management intervention on postoperative pain and mood and nursing satisfaction in thoracic surgery patients.Methods128patients underwent surgical treatment in our hospital from January2016to January2018and met the inclusion criteria were randomly divided into study group and control group,with each group being64cases.The control group received routine nursing after surgery.The group underwent pain management intervention on the basis of routine care.The pain scale of patients before and after1day,2days,and4days was evaluated by digital scoring scale(NRS).The anxiety self-assessment form(SAS)and depression self-assessment form(SDS)were used to pre-operatively and1week after surgery.Emotional status was assessed.The Pittsburgh Sleep Quality Index(PSQI)was used to assess the pre-operative and post-operative1-week sleep.The satisfaction questionnaire was used to assess patient care satisfaction,and the patient′s time to go to the hospital,hospital stay and concurrent were also recorded.Result The NRS scores of the study group were significantly lower than those of the control group at each time point.The NRS scores of the study group decreased gradually,the difference was statistically significant(P<0.05).The postoperative SAS and SDS scores of the study group(42.52±3.84)points,(43.26±3.78)points were lower than the control group scores[(49.15±4.21)points,(52.21±4.26)points],the difference was statistically significant(P<0.05);the study group postoperative PSQI score,ground time,hospital stay,complications were significantly lower than the control group,the differences were statistically significant(P<0.05);nursing satisfaction study group(92.2%)was significantly higher(70.3%)were significantly different Significance(P<0.05).Conclusion Pain management intervention can effectively alleviate postoperative pain in standardized treatment of esophageal cancer,thereby improving depression,anxiety,and sleeping quality;therefore helping patients recover better and better,reduce the incidence of complications,and improve nursing satisfaction.It is worthy of clinical application.