循证理念指导下的疼痛护理在高龄腹腔镜胆囊切除术患者中的应用效果

Application effects of evidence-based concept-guided pain nursing in elderly patients after laparoscopic cholecystectomy

目的:观察循证理念指导下的疼痛护理在高龄腹腔镜胆囊切除术患者中的应用效果。方法:选取2019年10月至2021年3月于该院行腹腔镜胆囊切除术的76例患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各38例。对照组实施常规护理,观察组在对照组基础上实施循证理念指导下的疼痛护理。比较两组护理前后疼痛程度[视觉模拟评分法(VAS)]评分、自我感受负担[自我感受负担量表(SPBS)]评分、睡眠质量[匹兹堡睡眠质量指数量表(PSQI)]评分、生命质量[健康状况调查简表(SF-36)]评分、护理满意度和不良事件发生率。结果:护理后,观察组VAS、SPBS、PSQI评分均低于对照组,SF-36评分高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为94.74%(36/38),高于对照组的76.32%(29/38),差异有统计学意义(P<0.05);两组不良事件发生率比较,差异无统计学意义(P>0.05)。结论:循证理念指导下的疼痛护理应用于高龄腹腔镜胆囊切除术患者可减轻术后疼痛和自我感受负担,改善睡眠质量,提高生命质量和护理满意度,效果优于常规护理。

Objective:To observe application effects of evidence-based concept-guided pain nursing in elderly patients after laparoscopic cholecystectomy.Methods:A prospective study was conducted on 76 patients after laparoscopic cholecystectomy in the hospital from October 2019 to March 2021.They were divided into control group and observation group according to the random number table method,38 cases in each group.The control group was given routine nursing,while the observation group was given the evidence-based concept-guided pain nursing on the basis of that of the control group.The pain degree[visual analogue scale(VAS)]score,the self-perceived burden[self-perceived burden scale(SPBS)]score,the sleep quality[Pittsburgh sleep quality index(PSQI)]score,the quality of life[health survey(SF-36)]score,the nursing satisfaction,and the incidence of adverse events were compared between the two groups before and after the nursing.Results:After the nursing,the VAS,SPBS and PSQI scores of the observation group were lower than those of the control group,the SF-36 score was higher than that of the control group,and the differences were statistically significant(P<0.05).The nursing satisfaction of the observation group was 94.74%(36/38),which was higher than 76.32%(29/38)of the control group,and the difference was statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse events between the two groups(P>0.05).Conclusions:The evidence-based concept-guided pain nursing in the elderly patients after laparoscopic cholecystectomy can reduce the postoperative pain and the self-perceived burden,improve the sleep quality,and improve the quality of life and the nursing satisfaction.Moreover,it is superior to the routine nursing.