摘要
目的:对比分析多模式镇痛护理干预与常规术后镇痛护理对开腹手术患者的影响。方法:选取2018年2月~2020年8月144例在本院进行开腹手术的患者分为观察组和对照组,观察组给予多模式镇痛护理干预,对照组给予常规术后镇痛护理,比较两组术后12 h、24 h VAS评分、镇痛不全发生情况,出院前APS-POQ-R量表评分、GCQ量表评分,护理满意度。结果:术后12 h、24 h观察组VAS评分较对照组均显著降低(P<0.05),镇痛不全发生率分别为11.11%、6.94%,较对照组的25.00%、18.06%显著降低(P<0.05),观察组APS-POQ-R量表中疼痛程度、疼痛信念、疼痛对活动的影响评分较对照组显著降低(P<0.05),疼痛控制满意度评分较对照组显著提高(P<0.05),GCQ量表中心理、生理、社会环境、文化评分较对照组显著提高(P<0.05),对护理服务满意度为95.83%,较对照组83.33%显著提高(P<0.05)。结论:模式镇痛护理干预可显著缓解开腹手术患者术后疼痛,降低镇痛不全发生率,提高镇痛控制满意度、舒适度及对护理服务满意度,值得推广。
Objective:To compare and analyze the effects of multimodal analgesia nursing intervention and conventional postoperative analgesia nursing on patients undergoing open surgery;Method:Select 144 patients who underwent open surgery in our hospital from February 2018 to August 2020 For the observation group and the control group,the observation group was given multimodal analgesia nursing intervention,and the control group was given conventional postoperative analgesia nursing.The two groups were compared with 12h and 24h VAS scores,the occurrence of analgesia insufficiency,and APS-POQ-R before discharge.Scale score,GCQ scale score,nursing satisfaction;Results:VAS scores in the observation group at 12h and 24h after operation were significantly lower than those in the control group(P<0.05),and the incidence of insufficiency in analgesia was 11.11%and 6.94%respectively compared with the control The 25.00%and 18.06%of the group were significantly reduced(P<0.05).The pain degree,pain belief,and the effect of pain on activity scores in the APS-POQ-R scale of the observation group were significantly lower than those in the control group(P<0.05),and pain control The satisfaction score was significantly higher than that of the control group(P<0.05).The psychological,physical,social environment,and cultural scores in the GCQ scale were significantly higher than those in the control group(P<0.05),and the satisfaction with nursing service was 95.83%compared with the control group 83.33%Significantly increased(P<0.05);Conclusion:Model analgesia nursing intervention can significantly relieve postoperative pain in patients undergoing laparotomy,reduce the incidence of incomplete analgesia,and improve satisfaction with analgesia control,comfort,and satisfaction with nursing services.It is worth promoting.
作者
王雪华
查仕方
WANG Xuehua;ZHA Shifang(CITIC Huizhou Hospital,Huizhou 516006,China)
出处
《包头医学院学报》
CAS
2020年第9期97-100,共4页
Journal of Baotou Medical College
关键词
多模式镇痛护理
开腹手术
疼痛
满意度
multimodal analgesia care
open surgery
pain
satisfaction
