护理干预减轻血栓闭塞性脉管炎患者疼痛的效果评价

Effect evaluation of nursing intervention on reducing pain in patients with thrombo angiitis obliterans

目的:观察护理措施在血栓闭塞性脉管炎患者中的应用,评价对患者临床疼痛的干预效果。方法:以2013年3月-2018年3月为研究时间段,将期间我院收治的50例血栓性脉管炎患者作为研究对象,遵循双盲随机原则分两组各25例,对照组遵医嘱予以止痛药物联合血管外科基础护理常规,包括心理疏导、健康宣教、用药指导、病情监护等,分析组则于此基础上加入针对性护理干预,内容包括强化心理护理、生活护理、饮食护理、运动护理等内容;在干预前后采用视觉模拟量表(VAS)评价患者疼痛表现,比较两组干预效果。结果:分析组与对照组干预前VAS评分分别为(7.74±0.81)分、(7.68±1.00)分,差异无统计学意义(t=0.233,P> 0.05),分组干预后,两组评分均获得明显改善(t=23.969,9.049,P<0.05),干预后组间比较中分析组VAS评分为(3.51±0.35)分,明显低于对照组(5.56±0.61)分,P<0.05,t=14.575。结论:血栓闭塞性脉管炎患者围治疗期间,疼痛作为常态症状,采用止痛药搭配基础护理干预虽具有一定效果,但局限性颇高,针对性护理干预在加强基础护理的同时,依据患者疾病类型、程度、患者特异性等内容展开相应的干预,故应用于血栓闭塞性脉管炎患者中可取得较好效果,有助于减轻患者疼痛,值得临床推广应用。

Objective:To observe the application of nursing measures in patients with thromboangiitis obliterans and evaluate the effect of intervention on clinical pain.Methods:From March 2013 to March 2018,50 cases of patients with thrombotic vasculitis treated in our hospital were selected as the study subjects.Applying the double-blind randomized principle,they were divided into two groups,with 25 cases in each group.The control group was prescribed the analgesic drugs in combination with vascular surgery basic care routines,including psychological counseling,health education,medication guidance,and condition monitoring.The analysis group was added targeted nursing interventions based on this,including intensified psychological care,life care,and diet,nursing,sports care and other content;before and after interventions,visual analog scales(VAS)were used to evaluate the patient's pain performance,and the effects of interventions of the two groups were compared.Results:The VAS scores before and after intervention in the analysis group and the control group were(7.74±0.81)and(7.68±1.00)points respectively.The difference was not statistically significant(t=0.233,P>0.05).After the intervention,both groups score was significantly improved(t=23.969,9.049,P<0.05).After the intervention,the VAS score in the analysis group was(3.51±0.35)points,which was significantly lower than the control group,(5.56±0.61)points,P<0.05,t=14.575.Conclusion:Pain was a normal symptom during peri-treatment of patients with thromboangiitis obliterans.Although analgesics and basic nursing interventions had certain effects,the limitations were quite high.Targeted nursing interventions were based on the patient's disease while strengthening the basic care.The type,degree,patient specificity and other aspects of the corresponding intervention were used in patients with thromboangiitis obliterans,which could achieve better results,help reduce pain in patients,and it was worthy of clinical application.