疼痛规范护理管理对开胸术患者术后疼痛的控制效果(1)
[摘要]目的 探讨疼痛规范护理管理对开胸术患者术后疼痛的控制效果。方法 选取2015年3月～2018年3月我院收治的60例开胸术患者，按照入院先后顺序分为对照组和观察组，每组各30例。对照组患者给予常规疼痛护理，观察组患者给予疼痛规范护理管理。观察比较两组患者的护理满意度、疼痛评分及疼痛严重程度。结果 观察组的护理满意度为93.33%，明显高于对照组的70.00%，差异有统计学意义(P<0.05)。观察组患者的疼痛程度轻于对照组，差异有统计学意义(P<0.05);观察组的疼痛评分明显低于对照组，差异有统计学意义(P<0.05)。结论 采取疼痛规范护理管理对开胸术患者进行护理能有效缓解患者疼痛，提高患者护理满意度，值得临床广泛推广及应用。
[关键词]疼痛规范护理管理;开胸术;术后疼痛;护理效果
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721(2019)9(a)-0211-03
Effect of standardized pain nursing management on pain control after thoracotomy
CHEN San-e
Deparment of Thoracic Surgery， People′s Hospital of Shangrao City in Jiangxi Province， Shangrao 334000， China
[Abstract] Objective To explore the effect of standardized pain nursing management on pain control after thoracotomy. Methods A total of 60 patients with thoracotomy admitted to our hospital from March 2015 to March 2018 were selected. According to the order of admission of patients， the patients were divided into the control group and the observation group， 30 cases in each group. The control group was given routine pain care， while the observation group was given standardized pain nursing management. The nursing satisfaction， pain score and pain severity were observed and compared between the two groups. Results The nursing satisfaction of the observation group was 93.33%， which was significantly higher than that of the control group， and the difference was statistically significant (P<0.05). The degree of pain in the observation group was lighter than that in the control group， and the difference was statistically significant (P<0.05). The average pain score of the observation group was significantly lower than that of the control group， and the difference was statistically significant (P<0.05). Conclusion The standardized pain nursing management for patients undergoing thoracotomy can effectively alleviate pain and improve patient satisfaction， which is worthy of wide clinical promotion and application.
[Key words] Pain standardized nursing management; Thoracotomy; Postoperative pain; Nursing effect
開胸手术是临床中使用较为频繁的一种手术，在手术过程中可能损伤患者胸壁神经，术后患者创口会出现剧烈疼痛，引起睡眠障碍、静脉血栓、肺部感染、低氧血症，影响患者后期康复[1-2]。近年来，随着医学技术的不断进步，越来越多的新型镇痛药物被应用到临床治疗中，使患者术后疼痛得到了良好缓减，但仍有50%以上患者用药后存在疼痛情况，需通过有效护理措施进行缓解[3]。本研究选取我院收治的60例开胸术患者，对其采取不同护理措施，观察疼痛规范护理管理的效果，现报道如下。
1资料与方法
1.1一般资料
选取2015年3月～2018年3月我院收治的60例开胸术患者，所有患者均无手术禁忌证，排除认知障碍、精神疾病;所有患者在详细了解此次研究内容后自愿参与，并签署知情同意书;本研究已获我院医学伦理委员会批准。按照患者入院先后顺序将其分为对照组和观察组，每组各30例。对照组中，男16例，女14例;年龄25～72岁，平均(48.5±3.7)岁;疾病类型：5例为房间隔缺损，7例为室间隔缺损，9例为食管癌，9例为肺癌。观察组中，男15例，女15例;年龄23～70岁，平均(46.5±3.7)岁;疾病类型：6例为房间隔缺损，8例为室间隔缺损，8例为食管癌，8例为肺癌。两组患者的性别、年龄、疾病类型等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(陈三娥)
[关键词]疼痛规范护理管理;开胸术;术后疼痛;护理效果
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721(2019)9(a)-0211-03
Effect of standardized pain nursing management on pain control after thoracotomy
CHEN San-e
Deparment of Thoracic Surgery， People′s Hospital of Shangrao City in Jiangxi Province， Shangrao 334000， China
[Abstract] Objective To explore the effect of standardized pain nursing management on pain control after thoracotomy. Methods A total of 60 patients with thoracotomy admitted to our hospital from March 2015 to March 2018 were selected. According to the order of admission of patients， the patients were divided into the control group and the observation group， 30 cases in each group. The control group was given routine pain care， while the observation group was given standardized pain nursing management. The nursing satisfaction， pain score and pain severity were observed and compared between the two groups. Results The nursing satisfaction of the observation group was 93.33%， which was significantly higher than that of the control group， and the difference was statistically significant (P<0.05). The degree of pain in the observation group was lighter than that in the control group， and the difference was statistically significant (P<0.05). The average pain score of the observation group was significantly lower than that of the control group， and the difference was statistically significant (P<0.05). Conclusion The standardized pain nursing management for patients undergoing thoracotomy can effectively alleviate pain and improve patient satisfaction， which is worthy of wide clinical promotion and application.
[Key words] Pain standardized nursing management; Thoracotomy; Postoperative pain; Nursing effect
開胸手术是临床中使用较为频繁的一种手术，在手术过程中可能损伤患者胸壁神经，术后患者创口会出现剧烈疼痛，引起睡眠障碍、静脉血栓、肺部感染、低氧血症，影响患者后期康复[1-2]。近年来，随着医学技术的不断进步，越来越多的新型镇痛药物被应用到临床治疗中，使患者术后疼痛得到了良好缓减，但仍有50%以上患者用药后存在疼痛情况，需通过有效护理措施进行缓解[3]。本研究选取我院收治的60例开胸术患者，对其采取不同护理措施，观察疼痛规范护理管理的效果，现报道如下。
1资料与方法
1.1一般资料
选取2015年3月～2018年3月我院收治的60例开胸术患者，所有患者均无手术禁忌证，排除认知障碍、精神疾病;所有患者在详细了解此次研究内容后自愿参与，并签署知情同意书;本研究已获我院医学伦理委员会批准。按照患者入院先后顺序将其分为对照组和观察组，每组各30例。对照组中，男16例，女14例;年龄25～72岁，平均(48.5±3.7)岁;疾病类型：5例为房间隔缺损，7例为室间隔缺损，9例为食管癌，9例为肺癌。观察组中，男15例，女15例;年龄23～70岁，平均(46.5±3.7)岁;疾病类型：6例为房间隔缺损，8例为室间隔缺损，8例为食管癌，8例为肺癌。两组患者的性别、年龄、疾病类型等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(陈三娥)