在肛肠外科建立无痛病房的效果探讨
摘要
目的:分析在肛肠外科建立无痛病房的价值和意义。方法:通过抽签的方式从2016年10月1日-2018年6月30日在笔者所在医院肛肠外科病房治疗的痔疮患者中选取100例作为研究对象,并按照随机、双盲、对照原则的相关要求将其平均分为两组,对照组50例患者接受传统疼痛管理模式,观察组50例患者接受无痛病房管理模式,比较两组患者术后疼痛评分、镇痛药应用频次、48 h疼痛频次、首次排便时疼痛评分及护理满意度。结果:观察组患者术后疼痛评分、镇痛药应用频次、48 h疼痛频次及首次排便时疼痛评分均明显优于对照组,差异均有统计学意义(P<0.05);观察组患者护理总满意度明显高于对照组,差异有统计学意义(P<0.05)。结论:在肛肠外科建立无痛病房管理模式,不仅能够有效降低患者术后疼痛程度,还能提高护理人员对疼痛知识的掌握,改善病房护理质量,效果显著,值得推广和应用。
引文
[1]黄燕芳,刘雪芳,陈芳.王不留行籽耳穴贴压在混合痔术后疼痛护理中的作用[J].中华护理教育,2016,13(3):219-221.
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[5]Guo L Y,Guo L J,Lyu M L.Effects of comprehensive nursing intervention on pain symptoms and quality of life of patients with non-surgical hemorrhoids[J].Chinese Practical Medicine,2016,11(20):204-206.
[6]Ge Y N,Huang L Z,Yang Z Y,et al.Application of quality control circle in improving the awareness rate of propaganda content after anorectal surgery[J].Clinical Study of Traditional Chinese Medicine,2015,7(35):108-110.
[7]Zhao Z Y,Zeng G H,Zheng W B.Application of Quality Management Circle Activities in Health Education for Anorectal Surgery Patients[J].Fujian Traditional Chinese Medicine,2015,46(5):79-80.
[8]唐颖丽.品管圈在提高肛肠科病案归档率中的运用[J].吉林医学,2016,37(7):1809-1810.
[9]康黎,杨淑华,卿艳萍,等.降低肛肠疾病病人术后疼痛评分分值的品管圈实践[J].全科护理,2017,15(36):4558-4560.
[10]庄雪春,徐爱月,尹慧琴.品管圈在肛肠科患者术后并发症管理中的应用[J].中医药管理杂志,2016,24(17):49-50.
[11]陈锦艳,林琳,徐慧.人文理念的护理干预对肛肠疾病术后排尿困难的疗效观察[J].中医临床研究,2016,8(7):139-140.
[12]Cai S P.Nursing observation of patients with urinary retention after anorectal surgery[J].Shenzhen Journal of Integrated Traditional Chinese and Western Medicine,2015,25(19):157-159.
[13]Wang W.Clinical observation of Chinese medicine hip bath combined with acupoint massage nursing intervention on wound swelling and pain after anorectal surgery[J].General Nursing,2015,13(18):1731-1732.
[14]李芸.肛肠科术后疼痛患者的护理干预效果观察[J].当代护士:中旬刊,2014(8):41-42.
[15]刘海燕,肖平,贾文君,等.中医整体护理对肛肠手术患者情绪术后疼痛及护理配合度的影响[J].四川中医,2015,33(6):175-177.
[2]张春蓉,胡兰苹.综合护理干预在结直肠癌患者中的应用效果研究[J]医药前沿,2016,6(7):45-46.
[3]周林.系统化健康教育模式在肛肠科手术病人中的应用与研究[J].护理实践与研究,2017,7(24):7-9.
[4]马明娟,周静.个性化护理干预对痔疮术后排尿排便困难的效果观察[J].中国医药导刊,2016,18(11):1178,1180.
[5]Guo L Y,Guo L J,Lyu M L.Effects of comprehensive nursing intervention on pain symptoms and quality of life of patients with non-surgical hemorrhoids[J].Chinese Practical Medicine,2016,11(20):204-206.
[6]Ge Y N,Huang L Z,Yang Z Y,et al.Application of quality control circle in improving the awareness rate of propaganda content after anorectal surgery[J].Clinical Study of Traditional Chinese Medicine,2015,7(35):108-110.
[7]Zhao Z Y,Zeng G H,Zheng W B.Application of Quality Management Circle Activities in Health Education for Anorectal Surgery Patients[J].Fujian Traditional Chinese Medicine,2015,46(5):79-80.
[8]唐颖丽.品管圈在提高肛肠科病案归档率中的运用[J].吉林医学,2016,37(7):1809-1810.
[9]康黎,杨淑华,卿艳萍,等.降低肛肠疾病病人术后疼痛评分分值的品管圈实践[J].全科护理,2017,15(36):4558-4560.
[10]庄雪春,徐爱月,尹慧琴.品管圈在肛肠科患者术后并发症管理中的应用[J].中医药管理杂志,2016,24(17):49-50.
[11]陈锦艳,林琳,徐慧.人文理念的护理干预对肛肠疾病术后排尿困难的疗效观察[J].中医临床研究,2016,8(7):139-140.
[12]Cai S P.Nursing observation of patients with urinary retention after anorectal surgery[J].Shenzhen Journal of Integrated Traditional Chinese and Western Medicine,2015,25(19):157-159.
[13]Wang W.Clinical observation of Chinese medicine hip bath combined with acupoint massage nursing intervention on wound swelling and pain after anorectal surgery[J].General Nursing,2015,13(18):1731-1732.
[14]李芸.肛肠科术后疼痛患者的护理干预效果观察[J].当代护士:中旬刊,2014(8):41-42.
[15]刘海燕,肖平,贾文君,等.中医整体护理对肛肠手术患者情绪术后疼痛及护理配合度的影响[J].四川中医,2015,33(6):175-177.