食管癌术后规范化疼痛护理改善视觉模拟评分与负性情绪的效果观察

The effect of standardized pain nursing on improving VAS and negative emotion after esophageal cancer operation

目的:探讨食管癌术后规范化疼痛护理改善疼痛评分[视觉模拟(VAS)评分]与负性情绪的效果。方法:选择2017年1月—2020年1月接受食管癌手术治疗的患者70例,采用红篮球分组法分为观察组和对照组,每组35例。对照组接受食管癌术后常规护理,观察组在对照组基础上添加规范化疼痛护理。两组均护理7 d,期间进行对应的随访及问卷调查。对比患者VAS评分、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、心理韧性[心理弹性(CD-RISC)量表]评分、术后不良反应发生率。结果:干预前两组SAS,SDS和CD-RISC评分比较,差异无统计学意义(P>0.05);干预后观察组各时间点VAS,SAS,SDS评分低于对照组,CD-RISC评分高于对照组,差异均有统计学意义(P<0.05)。观察组不良反应率5.71%(2/35),低于对照组的25.71%(9/35),差异有统计学意义(P<0.05)。结论:将规范化疼痛护理内容加入食管癌患者围术期常规护理工作中,可有效减轻术后疼痛,提升心理韧性,降低不良反应发生率。

Objective:To investigate the effect of standardized pain nursing on improving visual analogue scale(VAS)and negative emotion after esophageal cancer surgery.Methods:Seventy patients who underwent surgical treatment for esophageal cancer from January 2017 to January 2020 were selected and divided into observation group and control group by red basketball grouping method,with 35 cases in each group.The control group received routine postoperative care for esophageal cancer,and the observation group added standardized pain care to the control group.Both groups were nursed for 7 days,during which the corresponding follow-up and questionnaire survey were conducted.The VAS scores,negative emotions[anxiety self-rating scale(SAS),depression self-rating scale(SDS)]scores,mental resilience[psychological resilience(CD-RISC)scale]and incidence of postoperative adverse reactions were compared.Results:There were no significant differences in SAS,SDS and CD-RISC scores before intervention(P>0.05).The scores of VAS,SAS,SDS in the study group were lower than those in the control group,CD-RISC scores was higher then in the group(P<0.05).In the study group,the adverse reaction rate were 5.71%(2/35),which was lower than 25.71%(9/35)in the control group(P<0.05).Conclusion:Adding standardized pain nursing content into routine perioperative nursing work of esophageal cancer patients can effectively reduce postoperative pain,calm down the influence of negative emotions,improve their mental toughness,reduce the incidence of adverse reactions.