摘要
目的探讨急性疼痛服务小组在妇科肿瘤患者术后镇痛泵管理中的应用研究。方法选取2017年2月至2018年2月间商洛市中心医院收治的150例妇科肿瘤患者,采用随机数字表法分为研究组和对照组,每组75例。对照组患者采用常规自控镇痛及电话随访,研究组患者在对照组基础上采用急性疼痛服务小组进行临床镇痛管理,比较两组患者的镇痛知识知晓率、不同时间镇痛效果、镇痛期间常见风险发生率、满意度及疼痛评分。结果研究组患者知晓率为92.0%,对照组为81.3%,两组比较,差异有统计学意义(P<0.05)。研究组患者24h、48h、72h和96h的镇痛效果均优于对照组患者,差异均有统计学意义(均P<0.05)。镇痛期间深静脉血栓、恶心呕吐及感染等常见风险发生率均低于对照组,研究组患者常见风险发生率为13.3%,对照组为32.0%,两组比较,差异均有统计学意义(均P<0.05)。研究组患者在镇痛效果、疼痛知识宣教、不良反应处理及医务人员查房服务等方面的满意度均高于对照组患者,两组比较,差异均有统计学意义(均P<0.05)。结论采用急性疼痛服务小组对妇科肿瘤患者术后镇痛泵进行管理,患者治疗疼痛感减轻,常见风险发生率降低,值得进一步推广。
Objective To explore the application of acute pain service team for pumps for postoperative analgesia management in patients with gynecological tumor.Methods A total of 150 patients with gynecological tumor who received treatment at Shangluo Central Hospital from February 2017 to February 2018 were selected as the research subjects.According to the random number table method,they were divided into a study group and a control group with 75 patients in each group.The patients in the study group were given analgesia management by acute pain service team besides routine nursing and telephone follow-up.Patients in the control group were only given routine nursing and telephone follow-up.The awareness rate of knowledge on analgesia management,analgesia efficacy at different time points,common risks,satisfaction and pain score were compared between the two groups.Results The awareness rate was 92.0%in the study group and 81.3%in the control group.(P<0.05).The analgesic efficacy in the study group was significantly better in the study group than in the control grou at 24,48,72 and 96 h(all P<0.05).The incidence of common risks such as deep vein thrombosis,nausea and vomiting and infection was significantly lower in the study group than in the control group(all P<0.05).The incidence of common risks was 13.3%in the study group and 32.0%in the control group(P<0.05).The analgesia efficacy,knowledge on pain management,management of adverse reactions and satisfaction with medical care were significantly higher in the study group than in the control group(all P<0.05).Conclusion Acute pain service team was established in the management of postoperative analgesic pump for gynecological tumor,which greatly reduced the pain sensation and the occurrence of common clinical risks,and is worthy of further promotion.
作者
彭博
侯小娟
田丽
王婷
王敏
PENG Bo;HOU Xiao-juan;TIAN Li;WANG Ting;WANG Min(Department of Anesthesiology,Shangluo Central Hospital,Shangluo 726000,China)
出处
《中国肿瘤临床与康复》
2019年第10期1227-1230,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
急性疼痛服务小组
妇科肿瘤
术后镇痛泵管理
Acute pain service group
Gynecological tumors
Pumps for postoperative analgesia management
