基于症状管理理论的尿道下裂患儿疼痛管理方案的制定及应用

Development and application of a pain management protocol for children with hypospadias based on symptom management theory

目的探讨尿道下裂患儿疼痛管理方案的应用效果。方法按住院时间将尿道下裂手术患儿分为对照组62例和观察组64例。对照组按常规诊疗程序护理;观察组实施基于症状管理理论的疼痛管理方案。比较两组患儿术后4 h中重度疼痛发生率;术后不同时间疼痛评分、患儿家属满意度和患儿并发症发生率。结果患儿术后4 h中重度疼痛发生率、术后不同时间疼痛评分观察组显著低于对照组,患儿家属满意度观察组显著高于对照组(均P<0.05);两组尿瘘发生率比较,差异无统计学意义(P>0.05)。结论疼痛管理方案的实施能有效提高尿道下裂患儿术后镇痛效果,提高患儿家属满意度。

Objective To explore the effect of pain management in children undergoing hypospadias surgery.Methods Children undergoing hypospadias surgery were chronologgically assigned to a control group of 62 and an intervention group of 64.The control group was given usual care,while their counterparts in the intervention group received pain management developed based on symptom management theory.The incidence of moderate to severe pain at postoperative 4 h,pain scores at different time points after surgery,family satisfaction with care and incidence of complications were compared between the two groups.Results The intervention group had significantly lower incidence of moderate to severe pain at postoperative 4 h,lower pain scores at different time points after surgery,whereas higher family satisfaction with care compared with the control group(all P<0.05).There was no significant difference in the incidence of urinary fistula between the two groups(P>0.05).Conclusion Implementation of pain management can effectively enhance postoperative analgesic effect in children undergoing hypospadias surgery and improve family satisfaction with care.