摘要
目的探讨围术期规范化疼痛护理模式对肩袖修复术患者疼痛程度、睡眠质量及护理满意度的影响。方法选取2022年1月1日-2023年6月30日新疆医科大学第一附属医院运动医学科行关节镜下肩袖损伤修补手术的160例患者为研究对象,采用随机数字表法分为两组,每组80例,对照组采用常规护理模式,研究组采用规范化疼痛护理模式,采用视觉模拟评分、睡眠质量评分及护理满意度评分,评价患者疼痛程度、睡眠质量及护理满意度。结果与对照组比较,研究组术后4、12、24、48 h及出院时疼痛评分均降低,差异有统计学意义(P<0.05)。与对照组术后48 h比较,研究组入睡时间、睡眠时间、日间功能障碍、睡眠障碍、催眠药物用量、总分均降低,差异有统计学意义(P<0.05)。与对照组术后比较,研究组疼痛宣教满意度、疼痛干预及时率满意度、疼痛护理满意度及总体护理满意度均升高,差异有统计学意义(P<0.05)。结论围术期规范化疼痛护理可减轻肩袖损伤患者术后疼痛,提高患者术后睡眠质量及护理满意率,值得临床推广与应用。
Objective To explore the effect of perioperative standardized pain nursing mode on pain degree,sleep quality and nursing satisfaction of the patients undergoing rotator cuff repair.Methods A total of 160 patients who underwent arthroscopic rotator cuff injury repair surgery in the hospital from January 1,2022 to June 30,2023 were selected as research objects.The patients were divided into 2 groups according to the random number table method,80 cases in each group.The control group was given routine nursing mode,and the study group was given standardized pain nursing mode.Visual analogue scale,sleep quality score and nursing satisfaction score were used to evaluate the pain degree,sleep quality and nursing satisfaction of the patients.Results Compared with control group,the pain scores of study group wasdecreased significantly at 4,12,24,48 hours after surgery and at discharge(P<0.05).Compared with control group 48 hours after surgery,the study group showed a statistically significant decrease in sleep onset time,sleep duration,daytime dysfunction,sleep disorders,dosage of hypnotic drugs and total score(P<0.05).Compared with control group after surgery,the satisfaction rates of pain education,timely pain intervention,pain nursing and overall nursing satisfaction in the study group wereall increased,and the differences were statistically significant(P<0.05).Conclusion Perioperative standardized pain nursing can reduce postoperative pain,improve postoperative sleep quality and nursing satisfaction rate in patients with rotator cuff injury,which is worthy of promotion and application.
作者
马梅荣
杜彩梅
张远
李佳雪
刘阳
MA Meirong;DU Caimei;ZHANG Yuan;LI Jiaxue;LIU Yang(Department of Sports Medicine,the First Affiliated Hospital of Xinjiang Medical University,Urmuqi 830011,China;College of Nursing,Xinjiang Medical University,Urmuqi 830017,China)
出处
《新疆医科大学学报》
CAS
2024年第7期1049-1052,共4页
Journal of Xinjiang Medical University
基金
新疆维吾尔自治区自然科学基金项目(2018D01C187)
天山英才医药卫生高层次人才培养计划(TSYC202301B091)。
