肝脏外科临床中引入规范化疼痛评估对患者疼痛及睡眠质量的影响

Effect of standardized pain assessment on pain and sleep quality of patients in clinical liver surgery

目的探究肝脏外科临床中引入规范化疼痛评估对患者疼痛及睡眠质量的影响。方法选取2016年2月~2018年3月南京大学医学院附属鼓楼医院(以下简称"我院")收治的肝癌行肝脏外科手术患者126例为研究对象,将2016年2月~2017年2月我院收治患者63例作为对照组,2017年3月~2018年3月我院收治的患者63例作为观察组,对照组采用传统健康宣教及疼痛评估措施,观察组在对照组的基础上行规范化疼痛评估并给予物理止痛及药物镇痛。比较两组疼痛程度、睡眠质量及满意度。结果观察组术后3 h、12 h、1 d、2 d、3 d疼痛程度均低于对照组,差异均有统计学意义(均P<0.05);观察组术后3 d入睡时间、睡眠时间、催眠药物、睡眠障碍、睡眠效率、功能障碍、睡眠质量评分及总评分均低于对照组,差异均有统计学意义(均P<0.05);观察组满意度高于对照组,差异有统计学意义(P<0.05)。结论规范化疼痛评估应用于肝脏外科临床可有效缓解患者疼痛,提高睡眠质量及满意度,值得临床推广。

Objective To explore the influence of standardized pain assessment on pain and sleep quality of patients in clinical liver surgery.Methods From February 2016 to March 2018,126 patients with liver cancer undergoing liver surgery in Gulou Hospital affiliated to Nanjing University School of Medicine(hereinafter referred to as"our hospital")were selected as study subjects,from February 2016 to February 2017,63 patients admitted to our hospital were taken as the control group,from March 2017 to March 2018,63 patients admitted to our hospital were treated as the observation group.The control group adopted traditional health education and pain assessment measures,and the observation group received standardized pain assessment,physical analgesia and drug analgesia on the basis of the control group.The pain degree,sleep quality and satisfaction were compared between the two groups.Results The pain degree of the observation group was lower than that of the control group at 3 h,12 h,1 d,2 d and 3 d after surgery,and the difference was statistically significant(all P<0.05).The sleep time,amouto sleep,hypnotic drugs,sleep disorders,sleep efficiency,dysfunction,sleep quality scores and total scores of the observation group were all lower than those of the control group3 d after surgery,and the differences were statistically significant(all P<0.05).The satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of standardized pain assessment in clinical liver surgery can effectively relieve patients′pain,improve their sleep quality and satisfaction,which is worthy of clinical promotion.