疼痛和情绪管理在下肢静脉曲张手术患者中的应用研究

The application of pain and emotion management in patients with lower extremity varicose vein surgery

目的研究疼痛和情绪管理在下肢静脉曲张手术患者中的应用效果。方法选取2019年1~4月,杭州市第一人民医院收治的下肢静脉曲张手术患者107例,随机将患者分为对照组和观察组,对照组54例,给予常规护理;观察组患者53例,在常规护理的基础上附加疼痛和情绪管理。比较两组患者术后症状消失时间、疼痛评分、焦虑评分(HAMA)、抑郁评分(HAMD)。结果干预后,观察组患者下肢麻木、皮下水肿及溃疡面消失时间均低于对照组,差异有统计学意义(t=3.96、6.52、4.61,P=0.034、0.021、0.043);干预后观察组疼痛评分、HAMA评分、HAMD评分均低于对照组,差异有统计学意义(t=6.867、5.546、5.742,P=0.004、0.004、0.003)。结论疼痛和情绪管理能缩短下肢深静脉血栓患者症状消失时间,降低疼痛、焦虑及抑郁状态。

Objective To discuss the effect of pain and emotion management in patients with lower extremity varicose vein surgery. Methods A total of 107 patients with varicose veins of lower extremities underwent surgery in our hospital from January to April 2019 were enrolled in the study and randomly divided into control group(54 cases) and observation group(53 cases).After the surgery, patients in the control group received routine nursing care, while those in the observation group also received pain and emotion management intervention. The postoperative symptom disappearance time, pain score, anxiety score(HAMA) and depression score(HAMD) were compared between the two groups. Results After the intervention, the clinical symptoms as lower limb numbness, subcutaneous edema and ulcer terminated earlier in the observation group compared to the control group, the difference was statistically significant(t=3.96, 6.52, 4.61, P=0.034, 0.021, 0.043). Meanwhile, the pain score, HAMA score and HAMD score in the observation group were significantly lower than that in the control group(t=6.867, 5.546, 5.742, P=0.004, 0.004, 0.003). Conclusions Pain and emotion management intervention can shorten the clinical symptom disappearance in patients with lower extremity varicose vein surgery and reduce pain, anxiety and depression of patients.