摘要
目的探究肺癌术后活动性疼痛护理评估对疼痛管理质量的影响。方法选取2021年1—6月在解放军总医院第一医学中心进行肺癌手术的100例患者为研究对象,随机分为参照组(50例)及研究组(50例),参照组患者实施常规护理,研究组患者实施活动性疼痛护理评估。采用视觉模拟量表(VAS)评估患者的疼痛程度,采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评估患者心理状态,并统计患者术后不良反应情况,采用生活质量量表(SF-36)评估患者生活质量,采用自制满意调查表评估护理满意度,并比较两组之间有无差异。结果研究组术后12 h、1 d、2 d、3 d VAS评分均优于参照组(P<0.05)。研究组护理后HAMA评分、HAMD评分均优于参照组(P<0.05)。研究组患者的术后不良反应率〔2.0%(1/50)〕低于参照组〔12.0%(6/50)〕(χ^(2)=4.512,P=0.041)。研究组护理后生活质量评分高于参照组(P<0.05)。研究组患者护理满意度〔96.0%(48/50)〕高于参照组〔84.0%(42/50)〕(χ^(2)=4.114,P=0.043)。结论肺癌手术患者实施活动性疼痛护理评估,有效缓解术后疼痛,预防术后不良反应,安全性高,同时还可提高生活质量,得到满意评价,护理效果显著。
Objective To explore the impact of active pain nursing evaluation on the quality of pain management after lung cancer surgery.Methods 100 patients undergoing lung cancer surgery in the First Medical Center of the PLA General Hospital were selected from January to June 2021 as the research objects,and randomly divide them into a reference group(50 cases)and a study group(50 cases).Patients in the reference group receive routine care.Patients in the study group implemented active pain nursing assessment.The visual analog scale(VAS)was used to assess the patient’s pain degree,the Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)were used to assess the mental state of the patients,and the postoperative adverse reactions were counted.The quality of life scale was used(SF-36)Assess the patient’s quality of life,use a self-made satisfaction questionnaire to evaluate nursing satisfaction,and compare whether there is a difference between the two groups.Results The VAS scores of the study group were better than those of the reference group at 12 h,1 d,2 d,and 3 d after operation(P<0.05).The HAMA score and HAMD score after nursing in the study group were better than those in the reference group(P<0.05).The postoperative adverse reaction rate of patients in the study group〔2.0%(1/50)〕was lower than that of the reference group〔12.0%(6/50)〕(χ^(2)=4.512,P=0.041).The score of quality of life after nursing in the study group was higher than that in the reference group(P<0.05).Patient care satisfaction of the study group〔96.0%(48/50)〕is higher than that of the reference group〔84.0%(42/50)〕(χ^(2)=4.114,P=0.043).Conclusion Carrying out active pain nursing assessment for patients with lung cancer surgery can effectively relieve postoperative pain,prevent postoperative adverse reactions,and have high safety.At the same time,it can also improve the quality of life.It has been satisfactorily evaluated and the nursing effect is significant.
作者
匡红
侯惠如
KUANG Hong;HOU Huiru(The First Medical Center of PLA General Hospital,Beijing 100853,China;The Second Medical Center of PLA General Hospital,Beijing 100853,China)
出处
《中国全科医学》
CAS
北大核心
2021年第S02期203-205,共3页
Chinese General Practice
关键词
肺肿瘤
活动性疼痛护理评估
肺癌
手术治疗
疼痛程度
满意度
Lung neoplasms
Nursing evaluation of active pain
Lung cancer
Surgical treatment
Pain level
Satisfaction
