疼痛护理干预对全腹壁整形术围手术期焦虑及术后疼痛态度的影响

Effect of pain nursing intervention on perioperative anxiety and postoperative pain attitude in patients undergoing total abdominal wall plastic surgery

目的探讨术前疼痛护理干预对全腹壁整形围手术期焦虑水平、疼痛态度及疼痛干扰的影响。方法于2018年1月~2020年3月年进行随机对照研究,共有54例患者纳入研究,随机分为对照组(n=26)和试验组(n=28);对照组接受常规护理,试验组除常规护理外还实施了术前疼痛护理干预。使用视觉模拟量表(VAS-A)评估焦虑程度、疼痛问卷及简明疼痛量表评估疼痛态度和干扰时的疼痛强度。结果与对照组相比,试验组围手术期焦虑水平、疼痛态度显著改善;对疼痛干扰(体位改变、深呼吸/咳嗽及情绪瞬变)进行评分,试验组也显著低于对照组。结论术前疼痛护理干预对全腹壁整形患者有积极作用,本研究所采取的干预措施可为同行参考。

Objective To explore the effect of preoperative pain nursing intervention on anxiety level,pain attitude and pain interference during perioperative period of total abdominal wall plastic surgery.Methods A randomized controlled study was conducted from January 2018 to March 2020.A total of 54 patients were randomly divided into control group(n=26)and experimental group(n=28).The control group received routine nursing,and the experimental group received preoperative pain nursing intervention in addition to routine nursing.Visual analogue scale(VAS-A)was used to evaluate the degree of anxiety,pain questionnaire and concise pain scale to evaluate pain attitude and pain intensity.Results compared with the control group,the perioperative anxiery level and pain attitude of the experimental group were significantly improved,and the score of pain disturbance(postural change,deep breathing/cough and emotional transient)in the experimental group was also significantly lower than that in the control group.Conclusion preoperative pain nursing intervention has a positive effect on patients with total abdominal wall plastic surgery,and the intervention measures taken in this study can be used as a reference for peers.