动态化疼痛评估及管理对颅内肿瘤患者术后疼痛因子、自我效能及睡眠质量的影响

Effects of Dynamic Pain Assessment and Management on Postoperative Pain Factors,Self-efficacy and Sleep Quality in Patients with Intracranial Tumors

目的:探讨动态化疼痛评估及管理对颅内肿瘤患者术后疼痛因子、自我效能及睡眠质量的影响。方法:采取便利抽样法将2020年2月1日~12月31日收治的105例颅内肿瘤患者作为参照组,采用常规疼痛护理;将2021年2月1日~12月31日收治的105例颅内肿瘤患者作为观察组,实施动态化疼痛评估及管理。比较两组术后24 h、72 h静息性疼痛强度[静息时采用数字疼痛评估量表(NRS)]、活动性疼痛强度(活动时NRS评分),术前、术后3 d、术后7 d疼痛因子[5-羟色胺(5-HT)、心肌细胞P物质(SP)、去甲肾上腺素(NE)],术后24 h、术后7 d自我效能[采用一般自我效能感量表(GSES)]、睡眠质量[采用匹兹堡睡眠质量指数量表(PSQI)],比较两组护理满意度。结果:观察组术后24 h活动时NRS评分、术后72 h静息时NRS评分和活动时NRS评分均低于参照组(P<0.05);术后3 d、术后7 d,两组血清5-HT、SP、NE水平较术前均升高,但观察组低于参照组(P<0.05);术后7 d,观察组GSES评分高于参照组(P<0.05),PSQI评分低于参照组(P<0.05);观察组护理满意度高于参照组(P<0.05)。结论:动态化疼痛评估及管理可缓解颅内肿瘤患者术后静息性疼痛和活动性疼痛,改善术后疼痛因子水平,提升自我效能,提高睡眠质量和护理满意度。

Objective:To study the effects of dynamic pain assessment and management on postoperative pain factors,self-efficacy and sleep quality in patients with intracranial tumors.Methods:A total of 105 patients with intracranial tumors admitted from February 1 to December 31,2020 were selected as the control group using convenience sampling method,and routine pain care was provided;105 patients with intracranial tumors admitted from February 1 to December 31,2021 were selected as the observation group for dynamic pain assessment and management.The resting pain intensity[Numerical Rating Scale(NRS)]and active pain intensity(NRS score at active state)at 24 hours and 72 hours after surgery,pain factors[5-hydroxytryptamine(5-HT),substance P(SP),norepinephrine(NE)]before surgery and at 3 days and 7 days after surgery,and self-efficacy[General Self-Efficacy Scale(GSES)],sleep quality[Pittsburgh Sleep Quality Index(PSQI)]at 24 hours and 7 days after surgery,and nursing satisfaction were compared between the two groups.Results:NRS score at active state at 24 hours after surgery,NRS score at resting state,and NRS score at active state at 72 hours after surgery were lower in observation group than those in control group(P<0.05).Serum 5-HT,SP and NE levels in both groups at 3 days and 7 days after surgery were enhanced compared with those before surgery,but the levels in observation group were lower than those in control group(P<0.05).At 7 days after surgery,the GSES score of the observation group was higher than that of the control group(P<0.05),the PSQI score was lower than the control group(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion:Dynamic pain assessment and management can relieve the postoperative resting pain and active pain in patients with intracranial tumors,improve the levels of postoperative pain factors,enhance the self-efficacy,and promote the sleep quality and nursing satisfaction.