疼痛管理模式结合人性化护理在肝内外胆管结石患者中的应用价值

Application Value of Pain Management Model Combined with Human⁃ized Nursing in Patients with Intrahepatic and Extrahepatic Bile Duct Stones

目的研究肝内外胆管结石患者在治疗期间接受疼痛管理结合人性化护理干预的临床价值。方法便利选择2019年6月—2020年6月于该院接受手术治疗的44例肝内外胆管结石患者为研究对象,根据围术期护理方式的差异将其分成对照组和观察组,接受常规肝胆手术护理的22例为对照组,接受疼痛管理模式结合人性化护理干预的22例患者为观察组。对比两组护理满意度、护理前后疼痛程度、心理状态、生活质量评分、术后下床活动、术后疼痛消失、术后住院总时间。结果观察组护理满意度95.5%高于对照组63.6%,差异有统计学意义(χ^(2)=5.029,P<0.05)。观察组护理前后疼痛程度、心理状态、生活质量评分的改善幅度大于对照组,差异有统计学意义(P<0.05);护理后,观察组SF-36(92.06±5.42)分、HAMD(13.38±3.04)分、HAMA(11.46±2.43)分、NRS(2.07±0.56)分均优于对照组,差异有统计学意义(P<0.05)。观察组下床活动(29.14±6.60)h、术后疼痛消失时间(2.32±0.49)d、术后住院总时间(6.37±1.09)d均短于对照组,差异有统计学意义(P<0.05)。结论肝内外胆管结石患者在治疗期间接受疼痛管理结合人性化护理干预,能够大幅度改善心理状态和生活质量,在短时间内减轻疼痛,缩短术后恢复时间和住院时间,减少术后并发症的出现,使护理满意度得到显著提升。

Objective To study the clinical value of pain management combined with humanized nursing intervention in patients with intrahepatic and extrahepatic middle bile duct stones during treatment.Methods A total of 44 pa‐tients with intrahepatic and extrahepatic middle bile duct stones who received surgical treatment in the hospital from June 2019 to June 2020 were conveniently selected as the research subjects.They were divided into control group and observation group according to the differences in perioperative nursing methods.Twenty-two patients who re‐ceived routine hepatobiliary surgery nursing were the control group,and 22 patients who received pain management mode combined with humanized nursing intervention were the observation group.Nursing satisfaction,pain degree before and after nursing,psychological state,quality of life score,postoperative ambulation,postoperative pain disap‐pearance,and total postoperative hospital stay were compared between the two groups.Results The nursing satisfaction of the research objects in the observation group was 95.5%higher than that in the control group 63.6%,and the difference was statistically significant(χ^(2)=5.029,P<0.05).The improvement range of pain degree,psychological state and quality of life score before and after nursing was greater than that of the control group,and the difference was sta‐tistically significant(P<0.05);and after nursing,the SF-36(92.06±5.42)points,HAMD(13.38±3.04)points,HAMA(11.46±2.43)points,and NRS(2.07±0.56)points of the observation group were better than those of the control group,and the difference was statistically significant Significance(P<0.05).The time of getting out of bed(29.14±6.60)h,postoperative pain disappearance time(2.32±0.49)d,and total postoperative hospital stay(6.37±1.09)d in the obser‐vation group was shorter than the control group,and the differences were statistically significant(P<0.05).Conclusion Pain management combined with humanized nursing intervention for patients with intrahepatic and extrahepatic middle bile duct stones during treatment can greatly improve their psychological state and quality of life,relieve pain in a short period of time,shorten postoperative recovery time and hospitalization time,and reduce postoperative com‐plications and significantly improve nursing satisfaction.