胸外科患者術后行疼痛護理干預的效果分析

[摘要] 目的 探討對胸外科患者手術后行疼痛護理所得到的臨床效果。方法 整群選擇2015年2月—2016年6月間曾在該院接受手術治療的胸外科患者116例，采用隨機方法分為觀察組與對照組，觀察組與對照組人數均為58例，對照組中患者在手術后行常規護理，觀察組中患者在手術后實施疼痛護理干預，觀察兩組患者臨床效果。結果 在手術及護理結束之后，觀察兩組患者VAS評分，觀察組中患者24、48、72 h評分分別為（8.4±1.2）分、（7.5±1.6）分、（6.6±0.6）分，對照組中患者評分分別為（7.8±1.4）分、（5.0±0.8）分、（3.2±0.4）分，觀察組中患者評分明顯優于對照組；觀察兩組患者各項指標，觀察組中患者鎮痛藥物使用時間、拔管時間及住院時間分別為（1.2±0.2）d、（7.2±1.2）d、（8.5±1.4）d，對照組中患者時間分別為（2.4±0.6）d、9.4±1.8）d、（12.5±1.6）d，觀察組中患者與對照組相比明顯較優秀；觀察兩組患者護理滿意率，對照組中患者護理滿意率為77.6%，觀察組中患者護理滿意率為94.8%，兩組患者之間差異有統計學意義。 結論 對胸外科手術患者行疼痛護理可得到理想臨床效果，可使患者手術后疼痛有效減輕，使其各項臨床指標均得到改善，促進患者盡快康復，并且可使患者護理滿意率提高，可在臨床上廣泛應用。

[關鍵詞] 胸外科手術；疼痛護理；臨床效果

[中圖分類號] R473.76 [文獻標識碼] A [文章編號] 1674-0742（2016）12（b）-0155-03

Analysis of the Effect of Rursing Intervention on Postoperative Pain of Patients in Department of Thoracic Surgery

YANG Shu-ling，LIANG Guo-hua，GUO Qian

Department of Thoracic and Cardiovascular Surgery， Jinan Third People's Hospital， Shandong， Jinan， Shandong Province， 250132 China

[Abstract] Objective To investigate the clinical effect of pain nursing after operation in the Department of thoracic surgery. Methods Group selection 116 cases of February 2015 to June 2016 had Department of thoracic surgery patients underwent surgery in our hospital，using random method was divided into observation group and control group， the observation group and the control group there were 58 patients in the control group， patients in the postoperative routine nursing， patients in observation group after surgery pain nursing intervention， observation two groups of patients with clinical effect. Results After the end of surgery and nursing. The VAS scores of the two groups were observed in the observation group were24， 48， 72 h scores were （8.4±1.2）points， （7.5±1.6）points，（6.6±0.6）points， in patients in the control group scores were（7.8±1.4）points，（5±0.8）points，（3.2±0.4） points. The patients in the observation group scored significantly better than the control group； observe two groups， observation group of patients using analgesic time， extubation time and hospitalization time were （1.2±0.2）d， （7.2±1.2）d， （8.5±1.4）d， the control group of patients with time were（2.4±0.6）d，（9.4±1.8）d，（12.5±1.6）d， the observation group and the control group group compared was excellent； observe two groups of patients nursing satisfaction rate of patients in the control group， nursing satisfaction rate was 77.6%， observation group patients nursing satisfaction rate was 94.8%， there were significant differences between the two groups. Conclusion The department of thoracic surgery operation patients with pain care can get an ideal clinical effect， can make the patients with postoperative pain relief， so that the clinical indicators have been improved， and promote the recovery of patients as soon as possible， and can be

[Key words] Department of thoracic surgery surgery； Pain nursing； Clinical effect

胸外科手術是現代臨床上治療胸外科疾病的主要方法，具有較好臨床效果，但手術后很容易出現疼痛情況，會對患者造成較大痛苦，并且會對患者預后產生不良影響，因此在手術后對患者行合理護理干預，從而減輕患者疼痛，改善患者預后情況具有十分重要的作用?！?br>