PDCA循环在前列腺电切术后膀胱痉挛性疼痛管理中的应用
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摘要
目的通过应用PDCA循环疼痛管理模式,减轻经尿道前列腺电切术(TURP)后患者膀胱痉挛性疼痛的程度,提高患者满意度。方法选择2015年3—12月行TURP患者共120例,随机分为试验组和对照组各60例。对照组按前列腺电切术后常规护理,实施传统疼痛管理模式,试验组在常规护理基础上,按PDCA循环疼痛管理模式进行护理,比较两组患者疼痛控制效果、术后恢复情况及疼痛管理满意度。结果试验组术后4 h、12 h、24 h、48 h、72 h疼痛数字评分(NRS)均低于对照组,持续膀胱冲洗时间、留置尿管时间、术后住院天数、疼痛管理满意度均优于对照组,P<0.05,差异有统计学意义。结论 PDCA循环疼痛管理模式应用于TURP术后患者,可有效减轻术后膀胱痉挛性疼痛的程度,促进术后恢复,提高患者满意度。
Objective By applying the PDCA cycle pain management mode, to relieve postoperative cystospasm pain in patients after transurethral resection of the prostate(TURP) and improve patients' satisfaction. Methods 120 patients after TURP from March to December 2015 were randomly divided into two groups: 60 patients in experimental group and 60 patients in control group. The control group received conventional nursing while the experimental group underwent PDCA cycle pain management. Compared the pain control effect, recovery condition after operation and satisfaction on the pain management. Results Compared with the control group, the NRS scores on 4 h、12 h、24 h、48 h、72 h after TURP in experimental group were lower. Times of continuous bladder irrigation, catheter retention,the days after operation in hospital and satisfaction on the pain management were significantly better(P < 0.05). Conclusion The PDCA cycle pain management on patients after TURP significantly reduces the cystospasm pain, promotes postoperative recovery and improves patient satisfaction.
Objective By applying the PDCA cycle pain management mode, to relieve postoperative cystospasm pain in patients after transurethral resection of the prostate(TURP) and improve patients' satisfaction. Methods 120 patients after TURP from March to December 2015 were randomly divided into two groups: 60 patients in experimental group and 60 patients in control group. The control group received conventional nursing while the experimental group underwent PDCA cycle pain management. Compared the pain control effect, recovery condition after operation and satisfaction on the pain management. Results Compared with the control group, the NRS scores on 4 h、12 h、24 h、48 h、72 h after TURP in experimental group were lower. Times of continuous bladder irrigation, catheter retention,the days after operation in hospital and satisfaction on the pain management were significantly better(P < 0.05). Conclusion The PDCA cycle pain management on patients after TURP significantly reduces the cystospasm pain, promotes postoperative recovery and improves patient satisfaction.
引文
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[7]张秀华,梁玲玲,孙琴琴,等.低压灌注下经尿道四区分割法等离子体前列腺剜切术后膀胱冲洗的护理[J].中华护理杂志,2015,50(7):895-896.
[8]陈娟,陈琦,查燕红,等.PDCA循环疼痛管理模式在房颤射频消融术中的应用[J].江苏医药,2014,40(11):1338-1340.
[9]陈文专,陈巧惠,郭泽雯,等.PDCA循环引导的全程糖尿病健康教育[J].中华护理杂志,2010,45(4):362-364.
[10]刘梅,刘林,许勤,等.持续质量改进在骨创伤患者疼痛管理中的应用[J].中华护理杂志,2012,47(10):872-875.
[11]曾琳,李鹏程,刘莉,等.超前镇痛结合疼痛护理干预在膝关节镜围术期的临床运用[J].护理研究,2015,29(25):3156-3159.
[2]Savoia G,Alampi D,Amantea D,et al.Postoperative pain treatment SIAARTI Recommendations 2010.Short version[J].Minerva Anestesiol,2010,76(8):657-667.
[3]钱春娅,郑天兰,顾莹,等.前列腺电切术后膀胱痉挛性疼痛管理模式的对比研究[J].中国疼痛医学杂志,2014,20(12):877-881.
[4]刘冬华,陈雪莉,于爱兰,等.术后急性疼痛管理的持续质量改进[J].中华护理教育,2015,12(8):614-618.
[5]成燕,童莺歌,刘敏君,等.术后活动性疼痛护理评估对疼痛管理质量的影响[J].中华护理杂志,2015,50(8):924-928.
[6]朱亚敏.经尿道前列腺电切术后膀胱痉挛性疼痛的原因分析与护理[J].解放军护理杂志,2012,29(12):57-58.
[7]张秀华,梁玲玲,孙琴琴,等.低压灌注下经尿道四区分割法等离子体前列腺剜切术后膀胱冲洗的护理[J].中华护理杂志,2015,50(7):895-896.
[8]陈娟,陈琦,查燕红,等.PDCA循环疼痛管理模式在房颤射频消融术中的应用[J].江苏医药,2014,40(11):1338-1340.
[9]陈文专,陈巧惠,郭泽雯,等.PDCA循环引导的全程糖尿病健康教育[J].中华护理杂志,2010,45(4):362-364.
[10]刘梅,刘林,许勤,等.持续质量改进在骨创伤患者疼痛管理中的应用[J].中华护理杂志,2012,47(10):872-875.
[11]曾琳,李鹏程,刘莉,等.超前镇痛结合疼痛护理干预在膝关节镜围术期的临床运用[J].护理研究,2015,29(25):3156-3159.