以麻醉护士为基础的围术期疼痛管理教育在胃癌患者术后疼痛管理中的应用

Application of anesthesia nurses-based perioperative pain management education on postoperative pain management of gastric cancer patients

目的探讨以麻醉护士为基础的围术期疼痛管理教育对胃癌患者术后疼痛管理效果的影响。方法选取2019年1~12月于安徽医科大学第二附属医院择期行胃癌根治术并符合纳入排除标准的患者335例为研究对象,将患者按随机数字表法结合手术先后顺序分为干预组(n=168)和对照组(n=167)。干预组给予以麻醉护士为基础的围术期疼痛管理教育,对照组由病区护士实施常规术后疼痛管理教育。比较2组患者术后3 d疼痛水平、术后疼痛知识和疼痛认知信念水平及患者对疼痛管理教育方式的满意度。结果干预组患者术后3 d在疼痛平均分、疼痛最高评分、疼痛最高评分持续时间及疼痛评分>3分的持续时间上均低于对照组(P<0.05);干预组患者术后疼痛知识和疼痛认知信念水平均高于对照组(P<0.05);干预组患者对疼痛管理教育方式的总体满意度高于对照组(P<0.05)。结论以麻醉护士为基础的围术期疼痛管理教育方式降低了胃癌患者术后疼痛水平,提高了患者术后疼痛知识和疼痛认知信念水平,优于病区常规疼痛管理教育方式。

Objective To investigate the effect of anesthesia nurses-based perioperative pain management education on postoperative pain management of gastric cancer patients.Methods A total of 335 patients scheduled for elective radical resection for gastric cancer,from January to December 2019,in the Second Hospital of Anhui province,were selected and divided into the interventional group(n=168)and the control group(n=167),according to the random number table method and the surgical sequence.The interventional group was given anesthesia nurses-based perioperative pain management education,and the control group was given ward nurses-based routine postoperative pain management education.The pain levels 3 d after surgery,patients’postoperative pain knowledge,cognitive belief levels and satisfaction with pain management education methods of both groups were collected and compared with each other.Results In the interventional group,the average pain score 3 d after surgery,the maximum postoperative pain score,duration of maximum pain score and duration of pain score greater than 3 points were all lower than those in the control group(P<0.05).In the interventional group,patients’postoperative pain knowledge and cognitive belief levels were both higher than those in the control group(P<0.05).Conclusion The anesthesia nurses-based perioperative pain management education reduced the postoperative pain level of gastric cancer patients,improved the postoperative pain knowledge and cognitive belief levels of patients,and was better than the traditional pain management education in the ward.