综合疼痛护理干预措施在改善小儿腹股沟斜疝患儿疼痛状态中的作用
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摘要
目的:探讨综合疼痛护理干预措施在改善小儿腹股沟斜疝患儿疼痛状态中的作用。方法:选取2016年6-12月在本医院儿科住院的30例小儿腹股沟斜疝患儿为对照组,2017年1-6月30例小儿腹股沟斜疝患儿为研究组。对照组给予常规疼痛管理,研究组给予综合疼痛护理干预。统计两组患儿手术返回后(T0)、手术返回后2 h(T1)和手术返回后4 h(T2)心率(HR)、血压(DBP、SBP)以及疼痛评分变化情况,观察两组患儿家属术前1 d、手术当天和出院时S-AI状态焦虑量表评分,比较两组患儿家属护理满意度。结果:研究组患儿T0、T1、T2时刻DBP、SBP均低于对照组,T1、T2时刻HR均低于对照组,比较差异均有统计学意义(P<0.05);研究组患儿T1、T2时疼痛评分均低于对照组(P<0.05);研究组患儿家属术前1 d、手术当天和出院时S-AI状态焦虑量表评分均低于对照组(P<0.05);研究组患儿家属护理总满意度为93.33%,高于对照组的63.33%(P<0.05)。结论:综合疼痛护理干预措施可显著改善小儿腹股沟斜疝患儿疼痛状态,降低生命体征波动,使患儿家属的焦虑状态得到缓解,提升患儿家属对护理的满意度。
Objective:To explore the effect of comprehensive pain nursing intervention on improving the pain state of children with indirect inguinal hernia.Method:A total of 30 children with indirect inguinal hernia hospitalized in our hospital from June to December 2016 were selected as control group and 30 children with indirect inguinal hernia from January to June 2017 as study group.The control group was given routine pain management,while study group was given comprehensive pain nursing intervention.The changes of heart rate(HR),blood pressure(DBP,SBP)and pain score after operation return(T0),2 hours(T1)and 4 hours(T2)were counted,the S-AI state anxiety scale scores of the family members of two groups were observed before operation 1 day,on the day of operation and at discharge,and the nursing satisfaction of the family members of two groups was compared.Result:The DBP and SBP at T0,T1 and T2 in study group were lower than those of control group,HR at T1 and T2 were lower than those of control group,the differences were statistically significant(P<0.05).The pain scores at T1 and T2 in study group were lower than those of control group(P<0.05).The scores of S-AI state anxiety scale of the family members of study group were lower than those of control group before operation 1 day,the day of operation and at discharge(P<0.05).The nursing satisfaction of the family members in study group was 93.33%,which was higher than 63.33% in control group(P<0.05).Conclusion:Comprehensive pain nursing intervention measures can significantly improve the pain state of children with indirect inguinal hernia,reduce the fluctuation of vital signs,alleviate the anxiety state of children' family members,and enhance their satisfaction with nursing.
Objective:To explore the effect of comprehensive pain nursing intervention on improving the pain state of children with indirect inguinal hernia.Method:A total of 30 children with indirect inguinal hernia hospitalized in our hospital from June to December 2016 were selected as control group and 30 children with indirect inguinal hernia from January to June 2017 as study group.The control group was given routine pain management,while study group was given comprehensive pain nursing intervention.The changes of heart rate(HR),blood pressure(DBP,SBP)and pain score after operation return(T0),2 hours(T1)and 4 hours(T2)were counted,the S-AI state anxiety scale scores of the family members of two groups were observed before operation 1 day,on the day of operation and at discharge,and the nursing satisfaction of the family members of two groups was compared.Result:The DBP and SBP at T0,T1 and T2 in study group were lower than those of control group,HR at T1 and T2 were lower than those of control group,the differences were statistically significant(P<0.05).The pain scores at T1 and T2 in study group were lower than those of control group(P<0.05).The scores of S-AI state anxiety scale of the family members of study group were lower than those of control group before operation 1 day,the day of operation and at discharge(P<0.05).The nursing satisfaction of the family members in study group was 93.33%,which was higher than 63.33% in control group(P<0.05).Conclusion:Comprehensive pain nursing intervention measures can significantly improve the pain state of children with indirect inguinal hernia,reduce the fluctuation of vital signs,alleviate the anxiety state of children' family members,and enhance their satisfaction with nursing.
引文
[1]黄红英.临床护理路径对腹腔镜下小儿腹股沟疝手术60例护理效果观察[J].湖北科技学院学报(医学版),2016,30(5):435-436.
[2]邓立军,李平,耿若帆,等.快速康复外科理念在小儿腹股沟疝日间手术中的应用[J].临床小儿外科杂志,2016,15(4):360-362.
[3]莫世英.小儿疝修补术手术室围手术期的护理干预[J].中外医学研究,2016,14(2):112-113.
[4]王晶,王丽丽,付晓丽,等.改良式小儿腹股沟疝术后护理带临床应用效果[J].新疆医学,2016,46(1):110-111.
[5]赵穆子,程莉丽.护理干预小儿疝囊高位结扎患儿对手术后疼痛评分的影响[J/OL].中华疝和腹壁外科杂志(电子版),2016,10(5):387-389.
[6]孙莉敏.腹腔镜下疝囊高位结扎治疗小儿斜疝的优质护理效果分析[J].中国药物与临床,2017,17(9):1398-1400.
[7]王明芽,林丽莲,黄丽芳.临床护理路径在小儿腹股沟斜疝疝囊高位结扎术护理中的应用体会[J].医学理论与实践,2011,24(7):838-839.
[8]刘春琼.小儿腹股沟斜疝围手术期的护理体会[J].中外医学研究,2017,15(18):68-70.
[9]贾冰,郭焕菊,徐春梅.腹腔镜下小儿腹股沟斜疝超高位结扎术的临床观察与护理[J].护士进修杂志,2011,26(22):2054-2055.
[10]柯燕,何晓睿.健康教育在小儿腹股沟斜疝围手术期中的效果分析[J].安徽卫生职业技术学院学报,2017,16(2):91-92.
[11]毛赛婷.腹股沟斜疝围手术期护理[J].实用医技杂志,2016,23(3):319-320.
[12]魏娟.快速康复护理临床路径在小儿腹股沟疝治疗中的应用效果观察[J].齐鲁护理杂志,2016,22(2):91-92.
[13]林幼玲.探究舒适护理干预对小儿腹股沟斜疝手术患儿康复的相关影响[J].中外医学研究,2017,15(32):143-144.
[14]冯晓艳,蹇英.小儿腹股沟斜疝腹腔镜手术应用综合护理干预的效果观察[J].中国继续医学教育,2017,9(34):154-155.
[15]杨佩,曾双志,谭稻香,等.针对性护理在小儿腹股沟斜疝手术中的应用效果[J].中国当代医药,2016,23(6):170-172.
[16]吴亚晖,王樱儒.腹腔镜手术治疗小儿腹股沟斜疝的围术期护理分析[J].临床医学研究与实践,2017,2(26):184-185.
[17]罗敏,邓雪萍,李贺,等.综合疼痛护理干预在腹股沟斜疝患儿术后疼痛中的影响[J].中国实用医药,2017,12(25):166-167.
[18]任洁.综合护理干预在小儿腹股沟斜疝手术中的应用效果观察[J].医疗装备,2017,30(18):157-158.
[19]陈琬琼,丘士珍,黄永坚.小切口手术治疗小儿腹股沟斜疝的术后护理观察[J].泰山医学院学报,2016,37(6):707-708.
[20]赵雪丽.综合护理干预在腹腔镜下小儿腹股沟斜疝修补术中的应用效果[J].河南医学研究,2017,26(11):2105-2106.
[2]邓立军,李平,耿若帆,等.快速康复外科理念在小儿腹股沟疝日间手术中的应用[J].临床小儿外科杂志,2016,15(4):360-362.
[3]莫世英.小儿疝修补术手术室围手术期的护理干预[J].中外医学研究,2016,14(2):112-113.
[4]王晶,王丽丽,付晓丽,等.改良式小儿腹股沟疝术后护理带临床应用效果[J].新疆医学,2016,46(1):110-111.
[5]赵穆子,程莉丽.护理干预小儿疝囊高位结扎患儿对手术后疼痛评分的影响[J/OL].中华疝和腹壁外科杂志(电子版),2016,10(5):387-389.
[6]孙莉敏.腹腔镜下疝囊高位结扎治疗小儿斜疝的优质护理效果分析[J].中国药物与临床,2017,17(9):1398-1400.
[7]王明芽,林丽莲,黄丽芳.临床护理路径在小儿腹股沟斜疝疝囊高位结扎术护理中的应用体会[J].医学理论与实践,2011,24(7):838-839.
[8]刘春琼.小儿腹股沟斜疝围手术期的护理体会[J].中外医学研究,2017,15(18):68-70.
[9]贾冰,郭焕菊,徐春梅.腹腔镜下小儿腹股沟斜疝超高位结扎术的临床观察与护理[J].护士进修杂志,2011,26(22):2054-2055.
[10]柯燕,何晓睿.健康教育在小儿腹股沟斜疝围手术期中的效果分析[J].安徽卫生职业技术学院学报,2017,16(2):91-92.
[11]毛赛婷.腹股沟斜疝围手术期护理[J].实用医技杂志,2016,23(3):319-320.
[12]魏娟.快速康复护理临床路径在小儿腹股沟疝治疗中的应用效果观察[J].齐鲁护理杂志,2016,22(2):91-92.
[13]林幼玲.探究舒适护理干预对小儿腹股沟斜疝手术患儿康复的相关影响[J].中外医学研究,2017,15(32):143-144.
[14]冯晓艳,蹇英.小儿腹股沟斜疝腹腔镜手术应用综合护理干预的效果观察[J].中国继续医学教育,2017,9(34):154-155.
[15]杨佩,曾双志,谭稻香,等.针对性护理在小儿腹股沟斜疝手术中的应用效果[J].中国当代医药,2016,23(6):170-172.
[16]吴亚晖,王樱儒.腹腔镜手术治疗小儿腹股沟斜疝的围术期护理分析[J].临床医学研究与实践,2017,2(26):184-185.
[17]罗敏,邓雪萍,李贺,等.综合疼痛护理干预在腹股沟斜疝患儿术后疼痛中的影响[J].中国实用医药,2017,12(25):166-167.
[18]任洁.综合护理干预在小儿腹股沟斜疝手术中的应用效果观察[J].医疗装备,2017,30(18):157-158.
[19]陈琬琼,丘士珍,黄永坚.小切口手术治疗小儿腹股沟斜疝的术后护理观察[J].泰山医学院学报,2016,37(6):707-708.
[20]赵雪丽.综合护理干预在腹腔镜下小儿腹股沟斜疝修补术中的应用效果[J].河南医学研究,2017,26(11):2105-2106.