摘要
目的探讨循证护理结合临床实践的护理措施对提高泌尿科术后患者疼痛控制满意度的效果。方法采用方便抽样的方法,将泌外科住院的119例术后患者按时间先后分为对照组(n=59)和观察组(n=60);对照组采取常规护理;观察组采取循证护理,即根据临床实践提出的泌尿科术后患者疼痛及疼痛控制满意度低的问题,查阅文献,找出原因、制定护理对策并实施。结果观察组术后24 h、72 h疼痛程度显著低于对照组(均P<0.01);观察组疼痛控制满意度显著高于对照组(P<0.05,P<0.01)。结论对泌尿科术后患者进行循证护理干预措施,能有效减轻患者对疼痛的体验,提高患者对术后疼痛控制的满意度。
Objective To evaluate effects of evidence-based nursing practice on improving satisfaction with pain control in patients receiving urinary surgery.Methods A total of 119 postoperative patients hospitalized in department of urology were chosen by using convenience sampling and assigned into a control group of 59 and an observation group of 60 according to chronological order.The control group were given conventional nursing care,while the observation group received evidence-based nursing：we proposed problems in clinical practice （like pain after urinary surgery and poor patient satisfaction with pain control）,reviewed related literature to find causes and formulate countermeasures,and conducted these countermeasures.Results Pain severity at postoperative 24 h and 72 h were significantly milder in the observation group than the control group （P＜0.01 for both）.Patient satisfaction with pain control,as well as dimensions of overall satisfaction,pain experience,and impact of pain on mood in the observation group was significantly higher than the control group （P＜0.05,P＜0.01）.Conclusion Evidence-based nursing practice can relieve pain in patients after urinary surgery and improve their satisfaction with pain control.
关键词
泌尿外科
术后疼痛
循证护理
疼痛控制
患者满意度
department of urology
postoperative pain
evidence-based nursing
pain control
patient satisfaction
