護理干預對普外術后患者疼痛的影響

[摘要]目的 探討護理干預對普外術后患者疼痛的影響。方法 選擇普外科患者180例隨機分為兩組，對照組護理措施采用常規的術后護理操作。實驗組在常規的術后護理操作基礎上進行護理干預，對比兩組術后疼痛情況。結果 兩組術后24 h及72 h疼痛評分、睡眠評分及住院時間比較，差異有統計學意義（P<0.05），實驗組術后24 h及72 h疼痛評分、睡眠評分及住院時間均優于對照組。兩組患者術后72 h內鎮痛藥物使用比率分別為34.74%（31/90）和54.44%（49/90），差異有統計學意義（P<0.05）。 結論 護理干預可有效的減輕普外科患者術后的疼痛，從而促進患者術后康復，同時提高普外科的整體護理質量。

[關鍵詞]普外科；術后疼痛；護理干預

[中圖分類號] R473 [文獻標識碼] B [文章編號] 2095-0616（2012）22-137-02

Effect of nursing intervention on postoperative pain of general surgery

GAO Renxiang

Department of General Surgery，General Hospital of Liaoyuan Mining Group，Liaoyuan 136200，China

[Abstract] Objective To study the effect of nursing intervention on postoperative pain general surgery. Methods 180 cases of patients in department of general surgery were selected and divided into two groups， patients in controlgroup were given conventional postoperative nursing，patients in experimental group were given postoperative nursing interventions on the basis of control group，postoperative pain of two groups were compared. Results The pain scores，sleep scores and hospitalization time in 24 and 72 h of two groups were compared，the differences were significant （P<0.05），these indexs of experimental group was better than control group. Analgesia use rates in 72 h of two groups were 34.74% and 54.44% ，the differences of two groups were statistically significant（P<0.05）. Conclusion Nursing interventions can effectively reduce postoperative pain in general surgery patients，so as to promote patients' postoperative rehabilitation，while improving overall quality of care in general surgery.

[Key words] General Surgery；Postoperative pain；Nursing interventions

普外科術后疼痛是患者、醫生、護士均要面臨的常見問題，是機體對手術造成的組織損傷的一種復雜的生理反應。術后疼痛給患者帶來痛苦，影響休息和活動，增加術后并發癥的發生機率，嚴重者還可影響各器官的正常生理功能，如引起血壓升高、心率增快、血糖升高、抵抗力減弱、惡心嘔吐等，因此減輕和控制術后疼痛有利于患者術后的康復。筆者通過護理干預措施控制普外科術后患者疼痛，取得了滿意的效果，現報道如下。

1 資料與方法

1.1 一般資料

選取普外科2010年6月～2011年6月進行手術治療的180例患者，隨機分為兩組，對照組90例，男50例，女40例，年齡29～65歲，平均（51.3±2.4）歲；實驗組90例，男48例，女42例，年齡31～67歲，平均（50.7±2.7）歲。兩組患者性別、年齡、文化程度、病種、病情輕重程度、麻醉方式、手術方式方面比較，差異均無統計學意義（P>0.05），具有可比性。……