适应性训练对改善阑尾炎患者术后疼痛及负面情绪的影响

Effects of adaptive training on postoperative pain and negative emotions in patients with appendicitis

目的:探讨适应性训练对改善腹腔镜切除阑尾炎患者疼痛及负面情绪的影响。方法:收集60例于2018年3月至2020年3月在本院普外科行腹腔镜阑尾切除术的患者,按随机分配原则分为观察组和对照组,每组30例。对照组患者实施常规的术前宣教工作,观察组在术前实施适应性训练护理,主要包括心理评估及干预、疾病知识教育、术后训练,比较两组患者护理满意度,干预后疼痛数字评分(NRS),干预前后焦虑、抑郁自评分。结果:干预后,观察患者护理满意度高于对照组,观察组患者术后24h、48h的NRS疼痛评分、SAS评分、SDS评分均低于对照组,差异均有统计学意义(P<0.05)。结论:腹腔镜阑尾炎患者经过适应性训练护理可以明显改善患者的负面情绪和疼痛感,有一定的临床参考意义。

Objective:To explore the clinical effect of adaptive training on improving the pain and negative emotions of patients with appendicitis after laparoscopic resection.Methods:A collection of 60 patients who came to our hospital for laparoscopic appendectomy from March 2018 to March 2012 were collected and divided into observation group and control group according to the principle of random allocation,with 30 cases in each group.The control group carried out routine preoperative education and the observation group carried out adaptive training,which mainly included psychological assessment and intervention,disease knowledge education,and postoperative training.Compare the two groups of patients'nursing satisfaction,pain numerical score(NRS)after intervention,anxiety and depression self-score before and after intervention.Results:After the intervention,the patients in the observation group had higher nursing satisfaction than the control group,and the patients in the observation group had lower NRS pain scores,SAS scores,and SDS scores at 24h and 48h after surgery than the control group,and the differences were statistically significant(P<0.05).Conclusion:After adaptive training,the negative emotions and pain of patients with laparoscopic appendicitis have improved significantly,which has certain clinical reference significance.