目标疼痛护理在下肢动脉硬化闭塞血管腔内治疗术后患者中的应用

The Application of Target Pain Nursing in Patients with Lower Extremity Arteriosclerosis Occlusive Intravascular Treatment

目的:探讨目标疼痛护理在下肢动脉硬化闭塞血管腔内治疗术后患者中的应用效果,为临床护理提供参考。方法:选取2019年1月1日~12月31日收治的100例下肢动脉硬化闭塞血管腔内治疗术患者为研究对象,根据简单随机分组法分成观察组和对照组各50例;对照组采用围术期常规护理,观察组在对照组基础上给予目标疼痛护理干预;比较两组焦虑评分[采用焦虑自评量表(SAS)]、抑郁评分[采用抑郁自评量表(SDS)]、疼痛评分[采用数字分级法(NRS)]、睡眠质量评分[采用匹兹堡睡眠质量问卷(PSQI)]、舒适度评分(采用线性视觉模拟评分法)、疼痛控制满意度评分(采用休斯顿疼痛情况调查表)及并发症发生率。结果:两组护理后SAS、SDS评分均低于护理前(P<0.05),且观察组低于对照组(P<0.01);观察组术后NRS评分、PSQI评分、舒适度评分均低于对照组(P<0.01);观察组术后疼痛经历、疼痛期望、疼痛对日常的影响、疼痛对情绪的影响等维度评分均低于对照组(P<0.01),疼痛控制感知状态、疼痛控制教育感知状况等维度评分均高于对照组(P<0.01);观察组术后并发症发生率低于对照组(P<0.05)。结论:目标疼痛护理用于下肢动脉硬化闭塞血管腔内治疗术患者,可有效缓解患者负性情绪,减轻术后疼痛,提高睡眠质量、身体舒适度及患者对疼痛控制的满意度,降低并发症风险,可在临床推广应用。

Objective:To explore the application effect of target pain nursing in patients with lower extremity arteriosclerosis occlusive intravascular treatment after surgery,so as to provide reference for clinical nursing.Methods:From January 1 to December 31,2019,100 patients with lower extremity arteriosclerosis occluding intravascular treatment were selected as study subjects,and were divided into observation group and control group with 50 cases each according to the simple random grouping method.The control group received perioperative routine nursing,and the observation group received target pain nursing intervention on the basis of the control group.The anxiety score(SAS),depression score(SDS),pain score(NRS),the pittsburgh sleep quality index score(PSQI),comfort score(using the method of linear visual analogue scale),pain control satisfaction score(in Houston pain information form)and the incidence of complications were compared between the two groups.Results:SAS and SDS scores after nursing in both groups were lower than before nursing(P<0.05),and the observation group was lower than the control group(P<0.01).Postoperative NAS,PSQI scores and comfort scores of the observation group were all lower than those of the control group(P<0.01).Postoperative pain experience,pain expectation,pain influence on daily life,and pain influence on mood were all lower in the observation group than in the control group(P<0.01),and the scores of pain control perception status,pain control education perception status and other dimensions were all higher in the observation group than in the control group(P<0.01).The incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).Conclusion:Target pain nursing can effectively relieve patients′negative emotions,reduce postoperative pain,improve sleep quality,physical comfort and patients′satisfaction with pain control,and reduce the risk of complications.It can be widely applied in clinical practice.