优质护理服务对急诊胆结石患者心理及疼痛影响的研究

Impact of quality care intervention on psychological state and pain of patients with gallstones

目的探讨优质护理服务对急诊胆结石患者心理及疼痛的影响。方法将我院2011年12月—2013年6月收治的105例急诊胆结石患者按照随机分层分组法分为观察组和对照组,对照组给予常规护理干预,观察组给予优质护理干预,观察2组治疗前后的心理状态、疼痛、护理满意度及神经递质变化。结果观察组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分均优于对照组(P<0.05),观察组数字疼痛分级法(NRS)评分及护理满意率均优于对照组(P<0.05)。观察组血浆去甲肾上腺素(NE)、多巴胺(DA)及5-羟色胺(5-HT)含量均高于对照组,差异有统计学意义(P<0.05)。结论优质护理干预能显著改善急诊胆结石患者不良情绪,提高患者疼痛的耐受率和护理满意度,在急诊胆结石临床护理中具有重要的应用价值。

Objective To explore the impact of the quality care intervention on the psychological state and pain of patients with gallstones. Methods According to a stratified randomization method,105 cases of patients with gallstones were divided into an observation group and a control group,and the control group received the routine nursing intervention and the observation group received the quality care intervention. The psychological state,pain,care satisfaction rate,and neurotransmitters were observed. Results The observation group was significantly better than the control group in the evaluation of the HAMA score and HAMD score( P < 0. 05); the observation group was significantly better than the control group in the NRS score and care satisfaction rate( P < 0. 05). The plasma levels of NE,DA and 5-HT in the observation group were significantly higher than those in the control group in,there were significant differences( P < 0. 05). Conclusions The quality care intervention can significantly improve anxiety symptoms and depression of the patients with gallstones,and it has an important clinical value to improve the pain tolerance and raise the care satisfaction rate.