老年全子宫切除围术期舒适化监测与疼痛智能化管理的应用研究

Application of perioperative comfort monitoring and intelligent pain management in elderly patients undergoing total hysterectomy

目的:探讨围术期舒适化监测与疼痛智能化管理在老年全子宫切除中的应用效果。方法:选取2020年8月至2022年8月郑州大学第五附属医院收治的82例拟行腹腔镜全子宫切除术的老年患者作为研究对象,采用随机数字表法分为观察组和对照组,各41例。两组患者均采用常规镇痛管理,对照组患者接受围术期舒适化监测,观察组在对照组基础上联合应用疼痛智能化管理,均观察7d。观察比较两组患者术后排气时间、排便时间、住院时间、舒适度及满意度,应用视觉模拟评分法(Visual analogue scale,VAS)评估两组患者术后当天、术后3 d、术后7 d时疼痛情况。结果:两组患者术后排气时间、排便时间、住院时间、术后当天VAS评分无明显差异(P>0.05);观察组舒适状况量表(General comfort questionnaire,GCQ)评分、满意度均明显大于对照组(P<0.05);观察组术后3 d、术后7 d时VAS评分均明显小于对照组(P<0.05)。结论:围术期舒适化监测与疼痛智能化管理联合应用,可有效提高老年全子宫切除患者的舒适度及满意度,减轻疼痛情况。

Objective:To investigate the application effect of perioperative comfort monitoring and intelligent pain management in elderly patients undergoing total hysterectomy.Methods:From August 2020 to August 2022,82 elderly patients undergoing laparoscopic total hysterectomy admitted to the Fifth Affiliated Hospital of Zhengzhou University were selected as the study subjects.They were randomly divided into the observation group and the control group,with 41 cases in each group.Both groups of patients were treated with routine analgesia management.The patients in the control group received perioperative comfort monitoring on the basis of routine care.The patients in the observation group combined intelligent pain management on the basis of the control group,and both were intervened for 7 days.The postoperative exhaust time,defecation time,hospitalization time,comfort and nursing satisfaction of the two groups were observed and compared.The visual analogue scale(VAS)was used to evaluate the pain of the two groups on the day after operation,3 days after intervention and 7 days after intervention.Results:There was no significant difference between the two groups in terms of postoperative exhaust time,defecation time,hospitalization time and VAS score on the day after operation(P>0.05).The scores of general comfort questionnaire(GCQ)and nursing satisfaction in the observation group were significantly higher than those in the control group(P<0.05).The VAS score of the observation group was significantly lower than that of the control group at 3 days and 7 days of intervention(P<0.05).Conclusion:The combined application of perioperative comfort monitoring and intelligent pain management can effectively improve the comfort and satisfaction of elderly patients with total hysterectomy,and reduce pain.