The clinical effect of pain education on postoperative pain control in urological patients
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摘要: 目的 探讨疼痛宣教对泌尿外科患者术后疼痛控制程度的影响。 方法 选择2015年2月-2016年6月收治拟行泌尿外科手术患者120例,按照随机数字表法分为对照组和观察组,每组60例。2组患者均由同一组医护人员完成手术。对照组患者给予常规护理方式,观察组患者给予常规护理方式联合疼痛宣教。采用视觉模拟评分(VAS)评估2组患者术后不同时间点疼痛度,采用美国Kolcaba制定的简化舒适状况量表评价2组患者术后24 h舒适度,观察2组患者术后恢复情况及镇痛泵按压次数,评价2组患者护理满意度。 结果 术后24、48、72 h,观察组患者VAS评分均显著低于对照组,差异具有统计学意义(P<0.05);观察2组患者术后24 h舒适度,观察组患者舒适度各项评分均显著高于对照组,差异具有统计学意义(P<0.05),观察组患者术后下床时间、术后进食时间、住院时间均短于对照组,术后48 h内按压泵次数少于对照组,差异均具有统计学意义(P<0.05),观察组患者总满意度为100.00%,显著高于对照组患者的80.00%(Z=2.091,P<0.05)。 结论 采用疼痛宣教对减轻泌尿外科患者术后疼痛方面具有显著作用,可提高舒适度,缩短术后恢复时间,提高护理满意度,因此值得临床推广应用。Abstract: Objective To investigate the effect of pain education on postoperative pain control in urological patients. Methods From February,2015 to June,2016,120 patients undergoing urological surgery were divided into control group and observation group according to the random number table.Two groups of patients were treated by the same group of medical staff.The patients in the control group were given routine nursing care,and the patients in the observation group were treated with routine nursing and combined with pain teaching.The visual acuity scale (VAS) was used to evaluate the postoperative pain degree of the two groups.The comfortable comfort degree scale developed by Kolcaba in the United States was used to evaluate the comfort degree of the two groups.The postoperative recovery and the postoperative recovery of the two groups were observed with Pain pump number of times to evaluate the two groups of patients with care satisfaction. Results The VAS scores of the two groups were significantly lower than those of the control group at each time point (P<0.05).The scores evaluating patients'comfort degree at 24 hours after the operation in observation group were lower than those in the control group (P<0.05).The time of getting out of bed,postoperative eating time and hospital stay were shorter in the observation group than those in the control group,and the number of times of pressing pump within 48 hours after operation was significantly lower than that of the control group (P<0.05).The total satisfaction degree of the observation group was 100.00%,significantly higher than the control group 80.00%(χ2=13.33,P<0.05). Conclusion The use of pain teaching to reduce the pain of urological patients has a significant role in improving comfort degree,shortening the postoperative recovery time and improving care satisfaction,which is worthy of clinical application.
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Key words:
- Urological surgery /
- Pain /
- Pain education /
- Nursing satisfaction
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