疼痛护理干预对骨肿瘤手术患者镇痛效果研究
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摘要
目的探讨疼痛护理干预对骨肿瘤手术患者自我效能、镇痛效果、治疗依从性及满意度的影响。方法选取本院骨科2016年9月—2018年9月收治的80例骨肿瘤患者,按照入院的先后顺序进行随机分组,将患者分为对照组(n=40)及观察组(n=40),对照组给予常规性护理,观察组给予疼痛护理干预,比较两组患者术后自我效能、疼痛评分、治疗依从性及满意度情况。结果观察组干预后自我效能评分高于对照组(P <0.05)。观察组患者术后疼痛评分(NRS)低于对照组(P <0.05),卧床休息时间、平均住院时间短于对照组(P <0.05),而患者术后自理能力评分(Barthel)、满意度评分高于对照组(P <0.05)。结论疼痛护理干预能减轻患者术后疼痛感,提高患者术后锻炼依从性及自我效能,促进骨肿瘤患者术后康复。
Objective To explore the effect of pain nursing intervention on self-efficacy, analgesic effect, treatment compliance and satisfaction of bone tumor patients. Methods 80 cases of our hospital orthopedic with bone tumor were divided into control group(n = 40) and observation group(n = 40) according to the order of admission to random grouping from September 2016 to September 2018. The control group were adopted with routine nursing and observation group adopted with pain nursing intervention. The self-efficacy, pain score, treatment compliance and satisfaction o two groups were compared. Results The score of self-efficacy of observation group was higher than control group(P < 0.05). The pain scale(NRS) of the observation group was lower than control group(P <0.05), the bed rest time and the average hospitalization time were shorter than control group(P < 0.05), while the postoperative comfort score and satisfaction score of observation group were higher than control group(P <0.05). Conclusion Pain nursing intervention can relieve the postoperative pain, improve the patients' compliance and self-efficacy, and promote the rehabilitation of bone tumor patients.
Objective To explore the effect of pain nursing intervention on self-efficacy, analgesic effect, treatment compliance and satisfaction of bone tumor patients. Methods 80 cases of our hospital orthopedic with bone tumor were divided into control group(n = 40) and observation group(n = 40) according to the order of admission to random grouping from September 2016 to September 2018. The control group were adopted with routine nursing and observation group adopted with pain nursing intervention. The self-efficacy, pain score, treatment compliance and satisfaction o two groups were compared. Results The score of self-efficacy of observation group was higher than control group(P < 0.05). The pain scale(NRS) of the observation group was lower than control group(P <0.05), the bed rest time and the average hospitalization time were shorter than control group(P < 0.05), while the postoperative comfort score and satisfaction score of observation group were higher than control group(P <0.05). Conclusion Pain nursing intervention can relieve the postoperative pain, improve the patients' compliance and self-efficacy, and promote the rehabilitation of bone tumor patients.
引文
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[12]朱海新.疼痛护理对提高重症癌症患者生活质量的探讨[J].中华肿瘤防治杂志,2018,25(S1):293-294.
[13]刘亚玲.个体化疼痛管理对癌痛患者疼痛程度及生活质量的影响[J].中国卫生标准管理,2018,9(3):175-177.
[2]Li W,Luo X,Liu Z,et al. Prognostic value of C-reactive protein levels in patients with bone neoplasms:A meta-analysis[J]. PLoS One,2018,13(4):e0195769.
[3]但慧芳,周夕坪,任秀华,等.疼痛管理干预对食管癌规范化治疗患者术后疼痛与情绪及护理满意度影响[J].新疆医科大学学报,2018,41(12):1571-1574.
[4]贺育华,杨婕,蒋理立.对外科护士基于计划行为理论的疼痛管理行为干预效果[J].护理学报,2018,25(23):5-9.
[5]韩洁.规范化疼痛护理管理体系对胸腔镜下食管癌手术病人负性情绪及疼痛的影响[J].全科护理,2018,16(31):3871-3873.
[6]施俊琦,王垒.一般性自我效能量表的信效度检验[J].中国心理卫生杂志,2005,19(3):191-193.
[7]赖春娟,李季妮.综合护理干预对骨盆骨折患者围术期疼痛的影响[J].齐鲁护理杂志,2015,21(2):25-26.
[8]Pogatzki-Zahn EM,Segelcke D,Schug SA. Postoperative pain—from mechanisms to treatment[J]. Pain Rep,2017,2(2):e588.
[9]Zheng H,Schnabel A,Yahiaoui-Doktor M,et al. Age and preoperative pain are major confounders for sex differences in postoperative painoutcome:A prospective database analysis[J]. PLoS One,2017,12(6):e0178659.
[10]Hartwig M,Allvin R,B?ckstr?m R,et al. Factors Associated with Increased Experience of Postoperative Pain after Laparoscopic Gastric Bypass Surgery[J]. Obes Surg,2017,27(7):1854-1858.
[11]王星.骨科开展疼痛护理分层级管理的思考[J].中医药管理杂志,2018,28(21):144-145.
[12]朱海新.疼痛护理对提高重症癌症患者生活质量的探讨[J].中华肿瘤防治杂志,2018,25(S1):293-294.
[13]刘亚玲.个体化疼痛管理对癌痛患者疼痛程度及生活质量的影响[J].中国卫生标准管理,2018,9(3):175-177.