疼痛护理干预在新生儿重症监护室致痛操作中应用有效性的效果分析

Effectiveness Analysis of Pain Nursing Interventions Applied in Pain Causing Operations in Neonatal Intensive Care Unit

目的研究新生儿重症监护室致痛操作中应用疼痛护理干预所取得的效果。方法随机抽取2020年1月—2021年6月福建医科大学附属第一医院新生儿重症监护室中收治的患儿102例,按照随机数表法将其均匀分为对照组(n=51)和观察组(n=51),对照组患儿应用常规护理,观察组在常规护理基础上应用疼痛护理干预,对比两组疼痛控制有效率、生理指标、疼痛严重程度,同时详细记录两组患儿哭泣、疼痛面容持续时间以及重症监护时间。结果观察组疼痛控制有效率(98.04%)高于对照组(82.35%),差异有统计学意义(χ^(2)=7.096,P<0.05);与对照组比较,观察组疼痛严重程度比较轻,差异有统计学意义(Z=9.465,P<0.05);护理前,两组患儿生理指标对比,差异无统计学意义(P>0.05),护理后,观察组、对照组相关生理指标对比,差异有统计学意义(P<0.05);观察组哭泣持续时间(1.24±0.18)min、疼痛面容持续时间(81.42±7.99)s以及重症监护时间(6.66±1.36)d均短于对照组(1.96±0.25)min、(115.69±10.15)s、(8.87±2.47)d,差异有统计学意义(t=16.691、18.946、5.597,P<0.05)。结论在新生儿重症监护室致痛操作期间应用疼痛护理干预措施对于缓解患儿疼痛程度具有积极意义,可以保证患儿生命体征稳定,缩短了患儿重症监护室治疗时间。

Objective To study the effectiveness of pain care interventions applied in pain-causing operations in the neonatal intensive care unit(NICU).Methods Randomly selected 102 children admitted to the neonatal intensive care unit of First Hospital of Fujian Medical University from January 2020 to June 2021,and they were evenly divided into the control group(n=51)and the observation group(n=51)according to the random number table method.The children in the control group applied conventional care and the observation group applied pain care intervention on the basis of routine nursing.The pain control efficiency,physiological indexes and pain severity and were compared between the two groups detailed records of crying and pain face duration and intensive care time of the two group.Results The pain control efficiency 98.04%in the observation group was higher than(82.35%)in the control group,the difference dwas statistically significant(χ~2=7.096,P<0.05);compared with the control group,the pain severity in the observation group was lighter,the difference was statistically significant(Z=9.465,P<0.05).Before care,there was no statistically significant difference in the comparison of physiological indicators between the two groups of children(P>0.05),and after care,there was a statistically significant difference in the comparison of relevant physiological indicators between the observation group and the control group(P<0.05).The duration of crying(1.24±0.18)min,the duration of painful face(81.42±7.99)s and the time in the intensive care unit(6.66±1.36)d in the observation group were shorter than those in the control group(1.96±0.25)min,(115.69±10.15)s,(8.87±2.47)d,the difference was statistically significant(t=16.691,18.946,5.597,P<0.05).Conclusion The application of pain nursing interventions during paincausing operations in the neonatal intensive care unit has a positive significance in relieving the pain level of the child,ensuring the stability of the child′s vital signs and shortening the treatment time in the intensive care unit of the child.