循证护理在肝移植术后患者疼痛护理中的应用效果
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摘要
目的探讨循证护理在肝移植术后患者疼痛护理中的应用效果。方法选取2015年1月至2016年7月行肝移植术的108例术后患者作为研究对象,患者随机分成对照组和观察组,每组54例,对照组患者给予常规护理干预,观察组患者在常规护理的基础上给予循证护理措施,比较2组患者术后疼痛的护理效果和满意度。结果观察组术后中、重度疼痛的患者明显少于对照组,差异有统计学意义(P <0. 05)。观察组患者住院天数、睡眠时间及患者满意度均明显优于对照组,差异有统计学意义(P <0. 05)。观察组患者术后的胃肠系统并发症总发生率为31. 48%明显低于对照组的11. 1%,差异有统计学意义(P <0. 05)。结论将循证护理应用于肝移植术后疼痛护理中能取得明显效果,可有效降低术后患者的疼痛度,提高患者的满意度,从而提高患者术后生存生活的质量。
Objective To explore the application effects of evidence-based nursing on pain nursing after liver grafting. Methods A total of 108 patients who underwent liver grafting in our hospital from January 2015 to July 2016 were randomly divides into control group( n = 54) and observation group( n = 54). The patients in control group were treated by conventional nursing intervention,however,the patients in observation group,on the basis of control group,were treated by evidence-based nursing. The nursing effects and satisfaction degree of patients were observed and compared between the two groups. Results The pain scores in observation group were lower than those in control group,moreover,the pain duration and satisfaction degree of patients in observation group were superior to those in control group( P < 0. 05). Conclusion The application of evidence-based nursing in pain nursing after liver grafting can obtain obvious effects,which can relive the pain degree after surgery and improve patient's degree of satisfaction so as to improve the life quality of patients after surgery.
Objective To explore the application effects of evidence-based nursing on pain nursing after liver grafting. Methods A total of 108 patients who underwent liver grafting in our hospital from January 2015 to July 2016 were randomly divides into control group( n = 54) and observation group( n = 54). The patients in control group were treated by conventional nursing intervention,however,the patients in observation group,on the basis of control group,were treated by evidence-based nursing. The nursing effects and satisfaction degree of patients were observed and compared between the two groups. Results The pain scores in observation group were lower than those in control group,moreover,the pain duration and satisfaction degree of patients in observation group were superior to those in control group( P < 0. 05). Conclusion The application of evidence-based nursing in pain nursing after liver grafting can obtain obvious effects,which can relive the pain degree after surgery and improve patient's degree of satisfaction so as to improve the life quality of patients after surgery.
引文
1张晓敏.肝移植术后并发症的观察及护理.中国医药指南杂志,2015,11:196-197.
2 陈沫.外科术后疼痛护理工作研究.护理研究杂志,2017,7:142-143.
3 罗爱林.外科患者术后疼痛管理.临床外科杂志,2015,23:21-22.
4 王依贵.术后疼痛管理循证实践的现状水平及影响因素研究.重庆医学,2016,45:1724-1726.
5 陈基琳.综合护理干预对减轻外科患者术后疼痛程度的效果观察.吉林医药,2015,36:790-791.
6 蔺凤红.护理干预对减轻外科患者术后疼痛的效果观察.健康护理杂志,2018:11,206.
7 李向华,谭友春,陈汝纯.肝血流阻断技术应用于肝切术的围手术期护理.中华现代护理杂志,2011,17:1563-1565.
8 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.中华护理杂志,2015,50:924-927.
9 骆鹏飞,英卫东,许戈良,等.肝切除术后疼痛分析.中华普通外科杂志,2015,30:194-197.
10 郑树森,俞军,张武.肝移植在中国的发展现状.临床肝胆病杂志,2014:30,1-3.
11 冯燕,谢海英.肝移植术后59例围手术期常见并发症的护理.福建医药杂志,2016,38:148-150.
12 冷希圣.普通外科围手术期疼痛处理专家共识.中华普通外科杂志,2015,30:166-173.
13 王怡.肝移植术后睡眠障碍的原因分析及护理干预.北京医学,2016,38:1343-1344.
14 谷心灵.我国临床护士循证护理能力现状分析.当代护士,2017,7:6-8.
15 罗盛淑.肝癌患者肝移植术后早期腹胀的原因分析及护理对策研究.国际护理学杂志,2015,34:297-299.
2 陈沫.外科术后疼痛护理工作研究.护理研究杂志,2017,7:142-143.
3 罗爱林.外科患者术后疼痛管理.临床外科杂志,2015,23:21-22.
4 王依贵.术后疼痛管理循证实践的现状水平及影响因素研究.重庆医学,2016,45:1724-1726.
5 陈基琳.综合护理干预对减轻外科患者术后疼痛程度的效果观察.吉林医药,2015,36:790-791.
6 蔺凤红.护理干预对减轻外科患者术后疼痛的效果观察.健康护理杂志,2018:11,206.
7 李向华,谭友春,陈汝纯.肝血流阻断技术应用于肝切术的围手术期护理.中华现代护理杂志,2011,17:1563-1565.
8 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.中华护理杂志,2015,50:924-927.
9 骆鹏飞,英卫东,许戈良,等.肝切除术后疼痛分析.中华普通外科杂志,2015,30:194-197.
10 郑树森,俞军,张武.肝移植在中国的发展现状.临床肝胆病杂志,2014:30,1-3.
11 冯燕,谢海英.肝移植术后59例围手术期常见并发症的护理.福建医药杂志,2016,38:148-150.
12 冷希圣.普通外科围手术期疼痛处理专家共识.中华普通外科杂志,2015,30:166-173.
13 王怡.肝移植术后睡眠障碍的原因分析及护理干预.北京医学,2016,38:1343-1344.
14 谷心灵.我国临床护士循证护理能力现状分析.当代护士,2017,7:6-8.
15 罗盛淑.肝癌患者肝移植术后早期腹胀的原因分析及护理对策研究.国际护理学杂志,2015,34:297-299.