AIDET沟通模式对全麻腹部手术后镇痛依从性的影响

Influence of AIDET communication mode on analgesia compliance after abdominal operation under general anesthesia

目的探讨基于“问候-自我介绍-过程-解释-感谢”(AIDFT)沟通模式的护理对全麻腹部手术患者术后镇痛依从性的影响。方法选择2018年9月—2019年9月在本院行全麻腹部手术的84例患者作为研究对象,采用随机数字表法分为两组,各42例。对照组实施常规护理,观察组实施AIDET沟通模式。比较两组镇痛依从性、术后疼痛程度以及恢复情况。结果干预前对照组、观察组的镇痛依从性评分为(5.46±1.26)、(5.22±1.33),组间比较,差异无统计学意义(t=0.849,P=0.398);观察组干预后镇痛依从性评分为(8.41±1.25),高于对照组的(7.11±1.36)分,(t=4.561,P=0.002)。麻醉清醒时对照组、观察组的疼痛视觉模拟评分法(VAS)评分为(5.63±0.55)、(5.72±0.54)分,组间比较,差异无统计学意义(t=0.757,P=0.451);观察组术后48 h VAS评分(3.85±1.62)分,低于对照组的(4.85±1.26),(t=2.874,P=0.005)。观察组苏醒时间为(25.70±5.06)min、拔管时间为(13.11±3.02)min、术后肛门排气时间为(1.36±0.62)d,短于对照组的(28.11±5.78)min、(14.82±3.15)min、(2.96±0.96)d,(t=2.033、2.540、9.074,P值均<0.05)。结论全麻腹部手术患者实施AIDET沟通模式效果确切,能显著提升患者镇痛依从性,减轻患者痛苦,促进患者恢复,利于预后,值得临床推广使用。

Objective To explore the influence of AIDET communication mode on postoperative analgesia compliance of patients undergoing abdominal surgery under general anesthesia.Methods A total of 84 patients who underwent abdominal surgery under general anesthesia in our hospital from September 2018 to September 2019 were selected as the research objects,and they were randomly divided into a control group and an observation group with 42 cases in each group.The control group received the routine nursing,while the observation group received AIDET communication mode.Analgesic compliance,postoperative pain degree and recovery were compared between the two groups.Results Before the intervention,the average analgesic compliance scores of the control group and the observation group were(5.46±1.26)and(5.22±1.33)respectively,and there was no significant difference between the two groups(t=0.849,P=0.398).After the intervention,the average analgesic compliance score of the observation group was(8.41±1.25),which was higher than that of the control group(7.11±1.36)(t=4.561,P=0.002).The pain visual analogue scale(VAS)scores of the control group and the observation group were(5.63±0.55)and(5.72±0.54)respectively,and there was no significant difference between the two groups(t=0.757,P=0.451).The VAS score of the observation group at 48 hours after the operation was(3.85±1.62),which was lower than that of the control group(4.85±1.26),and the difference was statistically significant(t=2.874,P=0.005).The Allen Su time,extubation time and anal exhaust time in the observation group were(25.70±5.06)min,(13.11±3.02)min and(1.36±0.62)d respectively,which were shorter than those in the control group[(28.11±5.78)min,(14.82±3.15)min and(2.96±0.96)].Conclusion The AIDET communication mode is effective for patients undergoing abdominal surgery under general anesthesia,which can significantly improve their analgesia compliance,relieve their pain,promote their recovery and benefit their prognosis,and is worthy of clinical application.