护理干预对小儿术后疼痛及其母亲焦虑状态的效果评价

Effect of Nursing Intervention on Postoperative Pain in Children and Anxiety Status of Their Mothers

目的探讨分析小儿手术疼痛母亲焦虑的影响因素,分析综合护理干预模式对于小儿术后疼痛和母亲焦虑心理的影响,研究更有效的护理手段。方法方便选取该院2018年4月-2019年3月收治的小儿手术患儿及其母亲各202例作为研究对象,按照入院顺序分成两组,实验组101例,对照组101例。对照组仅采用常规护理手段进行护理,实验组采用综合护理干预模式加以护理,同时给予患儿母亲进行针对性的健康指导。对比分析两组患儿母亲护理前后的焦虑情况,通过量表(S-AI)评价,对患儿的疼痛等级、心率、血压进行对比分析。结果对比分析结果表明,实验组患儿护理后的疼痛(2.64±0.55)分显著低于对照组(5.76±0.65)分(t=36.820,P=0.000<0.05),心率、血压对比对照组,差异有统计学意义(t=18.500、5.350、11.540,P=0.000、0.000、0.000<0.05);两组患儿的母亲在护理前焦虑情况对比差异无统计学意义(P>0.05),护理后两组患儿母亲焦虑程度均低于护理前,而且实验组低于对照组,差异有统计学意义(P<0.05)。结论若是在小儿手术后对患儿进行综合护理,同时给予患儿母亲针对性的健康指导,能够有效帮助患儿术后恢复生命体征,心率、血压、呼吸趋近正常,而且缓解术后疼痛。特别是针对患儿母亲的健康指导,能够有效帮助患儿母亲缓解焦虑的心态,帮助患儿和患儿家属树立起战胜疾病、有效恢复的信心,该护理模式值得推广使用。

Objective To analyze the influencing factors of mother anxiety in children with surgical pain,and to analyze the effect of comprehensive nursing intervention model on postoperative pain and maternal anxiety in children,and to study more effective nursing methods.Methods A total of 202 children with pediatric surgery and their mothers who were admitted to the hospital from April 2018 to March 2019 were enrolled in the study.They were divided into two groups according to the order of admission,101 cases in the experimental group and 101 cases in the control group.The control group was only treated with routine nursing care.The experimental group was treated with a comprehensive nursing intervention model,and the mothers were given targeted health guidance.The anxiety of the two groups of mothers before and after nursing was compared and analyzed.The pain level,heart rate and blood pressure of the children were compared and analyzed by S-AI.Results The results of comparative analysis showed that the pain in the experimental group(2.64±0.55)points was significantly lower than that in the control group(5.76±0.65)points(t=36.820,P=0.000<0.05).The heart rate and blood pressure were also statistically different from the control group(t=18.500,5.350,11.540,P=0.000,0.000,0.000<0.05).The mothers in the two groups were compared before the nursing.The difference was not statistically significant(P>0.05).After the nursing,the anxiety of the two groups of children was lower than that before the nursing,and the experimental group was lower than the control group,and the difference was statistically significant(P<0.05).Conclusion If the child is treated comprehensively after pediatric surgery,and the mother’s targeted health guidance is given,it can effectively help the child to recover vital signs after surgery,heart rate,blood pressure,breathing approach normal,and relieve postoperative pain.In particular,the health guidance for the mother of the child can effectively help the mother to relieve anxiety,help the child and the family members to establish a confidence to overcome the disease and effectively recover.The nursing model is worth promoting.