循证护理结合疼痛护理在行手术治疗的泌尿系统结石患者中的应用

Application of evidence-based nursing combined with pain care in patients with urinary calculi undergoing surgical treatment

目的探讨行手术治疗的泌尿系统结石患者采用循证护理结合疼痛护理的效果。方法2020年1月至2022年12月,选取于江南大学附属医院行手术治疗的92例泌尿系统结石患者,按照随机数字表法分为对照组和观察组,各46例。对照组行常规护理,观察组行循证护理结合疼痛护理。比较2组的视觉模拟评分法(VAS)评分、疼痛控制满意度及并发症发生率。结果术后3 d和5 d,2组的VAS评分均低于同组术后1 d,且术后5 d均低于术后3 d(P均<0.05),且观察组均低于同期对照组(P均<0.05)。术后5 d,观察组的疼痛经历、疼痛期望、疼痛对日常生活的影响、疼痛对情绪的影响、疼痛控制教育感知状况和疼痛控制感知状态评分均优于对照组,且2组均较干预前更优,均有统计学差异(P均<0.05)。对2组并发症总发生率进行比较,观察组更低(P<0.05)。结论循证护理结合疼痛护理可减轻患者的术后疼痛,且具有较高的疼痛控制满意度,降低并发症发生率。

Objective To explore the effect of evidence-based nursing combined with pain care in patients with urinary calculi undergoing surgical treatment.Methods From January 2020 to December 2022,a total of 92 patients with urinary calculi who underwent surgical treatment at the Affiliated Hospital of Jiangnan University were selected and randomly divided into a control group and an observation group,with 46 cases in each group,using a random number table method.The control group received routine care,while the observation group received evidence-based care combined with pain care.Visual Analogue Scale(VAS)score,pain control satisfaction and incidence of complications were compared between the two groups.Results On the 3rd and 5th day after surgery,the VAS scores of both groups were lower than those of the same group on the 1st day after surgery,and the VAS scores of both groups were lower on the 5th day after surgery than on the 3rd day after surgery(all P<0.05),and the VAS scores of the observation group were lower than those of the control group during the same period(all P<0.05).On the 5th day after surgery,the scores of the pain experience,pain expectation,impact of pain on daily life,impact of pain on emotion,perception of pain control education,and pain control perception in the observation group were all better than those in the control group,and all were better than those before intervention,with statistical differences(all P<0.05).The total incidence of complications of the two groups was compared,which was lower in the observation group(P<0.05).Conclusion The combination of evidence-based nursing and pain care can alleviate postoperative pain of patients,and has a high degree of satisfaction with pain control,and can reduce the incidence of complications.