规范化疼痛护理干预对心脏术后患者自理能力的影响

Effect of standardized pain nursing intervention on self-care ability of patients after cardiac surgery

目的探讨规范化疼痛护理干预对心脏术后患者自理能力的影响。方法以随机数字表法将2020年11月-2021年12月在我院行心脏手术的84例患者分为两组(n=42)。对照组和观察组分别施以常规和规范化疼痛护理干预,两组均连续干预1个月。比较两组干预前后自理能力(改良Barthel指数)、疼痛水平,评估两组术后并发症发生率。结果干预后两组改良Barthel指数各维度评分均有所提高,且与对照组相比较,观察组进食、穿衣、控制大便、小便、评分均较高(P<0.05);干预后两组疼痛评分均有所下降,且与对照组相比较,观察组疼痛评分较低,差异明显(P<0.05);与对照组(23.80%)相比较,观察组并发症发生率(7.14%)明显较低(P<0.05)。结论将规范化疼痛护理应用于行心脏手术的患者的护理工作当中,有利于提高患者的自理能力,减轻患者疼痛水平,同时也能有效降低术后并发症发生率。

Objective Toexplore theeffect of standardized painnursing intervention on self-care ability after cardiac surgery.Methods 84 patients undergoing cardiac surgery in our hospital from November 2020 to December 2021 were divided by random numbers(n=42).Routine and standardized pain care intervention were given to the control and observation groups,and both groups were continuously for 1 month.The self-care ability(modified Barthel index)and pain level before and after the two groups.Results After the intervention,the scores of the dimensions of the two groups improved,and the eating,dressing,stool control,urination,and scores were higher(P<0.05);after the intervention,the pain scores decreased,and the pain scores were lower than the control group(P<0.05).Compared with the complication group(7.14%)(23.80%)(P<0.05).Conclusion The application of standardized pain nursing to patients undergoing cardiac surgery is beneficial to improve the self-care ability of patients,reduce the pain level of patients,and effectively reduce the incidence of postoperative complications.