目标策略针对性干预对经ERCP胆总管取石术患者术后疼痛的影响

Effect of Targeted Intervention on Postoperative Pain of Patients Receiving ERCP Choledocholithotomy

目的分析目标策略针对性干预对ERCP胆总管取石术后疼痛的影响。方法随机数字表法将笔者医院2019年2月至2020年11月90例行ERCP胆总管取石术的患者分为对照组(常规护理)和观察组(目标策略针对性护理)。观察心率、血压波动和VAS分值、疼痛问卷中PPI、PRI分值,调查疼痛护理满意度,记录并发症。结果护理后两组心率波动、血压波动、VAS分值均降低且观察组低于对照组;与术后2h相比,两组术后12h、24h时PPI、PRI分值均降低且观察组低于对照组;观察组疼痛护理度各项分值及总分均高于对照组;观察组并发症发生率(6.67%)低于对照组(26.67%)(P<0.05)。结论目标策略针对性护理能帮助ERCP胆总管取石术患者术后体征恢复,缓解疼痛,减少并发症,提高护理满意度。

Objective To analyze effect of targeted nursing on pain after ERCP choledocholithotomy.Methods 90 patients receiving ERCP choledocholithotomy from February 2019 to November 2020 were randomly divided into control group(routine nursing)and observation group(targeted nursing).Heart rate,blood pressure fluctuation,VAS score,PPI and PRI score in pain questionnaire were observed,nursing satisfaction for pain was investigated,complications were recorded.Results After nursing,fluctuation of heart rate and blood pressure and VAS scores of two groups were decreased,and scores of observation group were lower than control group;compared with 2 hours after surgery,PPI and PRI scores of two groups at 12h and 24h after surgery were decreased,and scores of observation group were lower than control group;nursing satisfaction for pain and total scores of observation group were higher than control group;complication rate of observation group(6.67%)was lower than control group(26.67%)(P<0.05).Conclusion targeted nursing can help recovery of patients receiving ERCP choledocholithotomy,relieve pain,reduce complications and improve nursing satisfaction.