中药局部封包联合早期护理干预对预防肌肉注射黄体酮致臀部硬结的临床研究
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摘要
目的探讨中药局部封包联合早期护理干预对预防肌肉注射黄体酮致臀部硬结的应用效果。方法选取2017年6月～2018年6月我院需行肌肉注射黄体酮保胎治疗的患者120例,根据随机数字表法将患者分为观察组和对照组,各60例。对照组行常规护理干预。观察组实施中药局部封包联合早期护理干预。比较两组臀部硬结发生率、疼痛评分、疼痛消退时间、硬结面积及患者满意度。结果观察组臀部硬结发生率明显低于对照组(P<0.05)。观察组术后疼痛评分(VAS)低于对照组(P<0.05),疼痛消退时间短于对照组(P<0.05),硬结面积小于对照组(P<0.05),满意度评分高于对照组(P<0.05)。结论中药局部封包联合早期护理干预能有效预防肌肉注射黄体酮致臀部硬结,减轻患者痛苦,提高患者治疗满意度。
Objective To investigate the effect of local medicine combined with early nursing intervention on prevention of hip induration caused by intramuscular injection of progesterone.Methods 120 cases of patients who underwent intramuscular injection of progesterone for fetus were divided into observation group(n=60)and control group(n=60)according to the random number table from June 2017 to June 2018.The control group was received with routine nursing intervention and observation group was implemented with local chinese medicine package and early nursing intervention.The incidence of hip induration,pain score,pain duration,induration area and patient satisfaction score of two groups were compared.Results The incidence of induration of observation group was lower than control group(P<0.05).The postoperative pain score(VAS)of observation group was lower than control group(P<0.05),the pain duration was shorter than control group(P<0.05),the induration area was smaller than control group(P<0.05),and the satisfaction score was higher than control group(P<0.05).Conclusion Local medicine combined with early nursing intervention can effectively prevent hip induration caused by intramuscular injection of progesterone,reduce patient suffering and improve patient satisfaction rate.
Objective To investigate the effect of local medicine combined with early nursing intervention on prevention of hip induration caused by intramuscular injection of progesterone.Methods 120 cases of patients who underwent intramuscular injection of progesterone for fetus were divided into observation group(n=60)and control group(n=60)according to the random number table from June 2017 to June 2018.The control group was received with routine nursing intervention and observation group was implemented with local chinese medicine package and early nursing intervention.The incidence of hip induration,pain score,pain duration,induration area and patient satisfaction score of two groups were compared.Results The incidence of induration of observation group was lower than control group(P<0.05).The postoperative pain score(VAS)of observation group was lower than control group(P<0.05),the pain duration was shorter than control group(P<0.05),the induration area was smaller than control group(P<0.05),and the satisfaction score was higher than control group(P<0.05).Conclusion Local medicine combined with early nursing intervention can effectively prevent hip induration caused by intramuscular injection of progesterone,reduce patient suffering and improve patient satisfaction rate.
引文
[1]李姣红,余悦满,刘润改.黄体酮注射液Z径路肌肉注射法的应用效果[J].解放军护理杂志,2014,31(5):31-33.
[2]李姣红.Z型注射法在黄体酮肌肉注射中的应用效果观察[J].齐鲁护理杂志,2014,20(22):34-36.
[3]陈荣英.综合护理干预对肌注黄体酮致局部硬结的预防效果观察[J].中国乡村医药,2018,25(6):63-64.
[4]桂习侣,程璟,姜晓露,等.开展品管圈活动降低黄体酮注射部位硬结发生率[J].护理学杂志,2015,30(4):70-71.
[5]周秀新,崔文露,常奎芳.肌肉注射硬结的临床防治研究[J].解放军护理杂志,2006,23(2):19-20.
[6]付莲英,段淑云,万水珍.视觉模拟评分法在病人满意度调查中的应用[J].中国护理管理,2008,8(9):68-69.
[7]高红娟,张建红.品管圈活动降低肌注黄体酮致臀部硬结发生率的观察效果[J].中华现代护理杂志,2016,22(17):2450-2453.
[8]顾海银,黄金梅,桂梦丝.四黄膏外敷治疗皮下注射胰岛素所致皮下硬结的疗效观察[J].中国临床护理,2018,10(2):107-109.
[9]何文静,王爱民,李婷婷.胰岛素注射致皮下硬结的研究进展[J].中国实用护理杂志,2014,30(29):38-39.
[10]邱丽娜,王晓庭,郭红宇.中药封包联合红外线治疗甘露醇静脉滴注引起静脉炎43例[J].浙江中医杂志,2016,51(3):211.
[11]孙静怡,张卫健.Z型肌肉注射辅以中药外敷防治注射部位硬结效果观察[J].河南中医,2014,34(3):568-569.
[12]黎雄武,安丽影,莫桂英,等.四子散热熨防治罂粟碱肌肉注射致肌肉硬结的效果[J].护理实践与研究,2017,14(9):134-135.
[13]裘益玲,吴筱莲,林丽芳.中药散瘀膏联合艾盐包热敷治疗SV注射所致皮下硬结的护理[J].浙江临床医学,2016,18(4):788-789.
[2]李姣红.Z型注射法在黄体酮肌肉注射中的应用效果观察[J].齐鲁护理杂志,2014,20(22):34-36.
[3]陈荣英.综合护理干预对肌注黄体酮致局部硬结的预防效果观察[J].中国乡村医药,2018,25(6):63-64.
[4]桂习侣,程璟,姜晓露,等.开展品管圈活动降低黄体酮注射部位硬结发生率[J].护理学杂志,2015,30(4):70-71.
[5]周秀新,崔文露,常奎芳.肌肉注射硬结的临床防治研究[J].解放军护理杂志,2006,23(2):19-20.
[6]付莲英,段淑云,万水珍.视觉模拟评分法在病人满意度调查中的应用[J].中国护理管理,2008,8(9):68-69.
[7]高红娟,张建红.品管圈活动降低肌注黄体酮致臀部硬结发生率的观察效果[J].中华现代护理杂志,2016,22(17):2450-2453.
[8]顾海银,黄金梅,桂梦丝.四黄膏外敷治疗皮下注射胰岛素所致皮下硬结的疗效观察[J].中国临床护理,2018,10(2):107-109.
[9]何文静,王爱民,李婷婷.胰岛素注射致皮下硬结的研究进展[J].中国实用护理杂志,2014,30(29):38-39.
[10]邱丽娜,王晓庭,郭红宇.中药封包联合红外线治疗甘露醇静脉滴注引起静脉炎43例[J].浙江中医杂志,2016,51(3):211.
[11]孙静怡,张卫健.Z型肌肉注射辅以中药外敷防治注射部位硬结效果观察[J].河南中医,2014,34(3):568-569.
[12]黎雄武,安丽影,莫桂英,等.四子散热熨防治罂粟碱肌肉注射致肌肉硬结的效果[J].护理实践与研究,2017,14(9):134-135.
[13]裘益玲,吴筱莲,林丽芳.中药散瘀膏联合艾盐包热敷治疗SV注射所致皮下硬结的护理[J].浙江临床医学,2016,18(4):788-789.