护理干预改善耳鼻喉部手术患者术后疼痛及康复效果评价
Effect of the nursing intervention on improving the postoperative pain and rehabilitation in patients with the ear,nose and throat operation
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摘要: 目的: 探讨护理干预对改善耳鼻喉部手术患者术后疼痛的应用价值。方法: 选择2012年9月至2014年8月手术治疗的耳鼻喉疾病患者50例作为观察组, 进行综合护理干预;另选取2011年3月至2012年8月行耳鼻喉部手术治疗的患者50例作为对照组, 进行常规护理。监测2组患者术后24 h和72 h的疼痛视觉模拟评分、术后72 h镇痛药使用率、疼痛分级以及总体疗效。结果: 观察组术后24 h和72 h的视觉模拟评分以及72 h后的镇痛药使用率明显低于对照组(P<0.01);观察组和对照组的总疼痛率分别为12.0%和68.0%, 差异有统计学意义(P<0.01);观察组和对照组的总有效率分别为100.0%和90.0%, 差异亦有统计学意义(P<0.01)。结论: 护理干预能有效改善耳鼻喉部手术患者的术后疼痛, 促进患者的术后恢复, 值得推广。
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关键词:
- 耳鼻喉科疾病/外科手术 /
- 疼痛 /
- 护理干预
Abstract: Objective: To explore the effects of the nursing intervention on improving the postoperative pain in patients with ENT(ear,nose and throat)surgery.Methods: Fifty patients treated with ENT surgery were set as the observation group,and nursed with comprehensive nursing intervention.Fifty patients treated with ENT surgery from March 2011 to August 2012 were set as the control group,and nursed with the conventional nursing method.The visual analogue scale score at postoperative 24 h and 72 h,and analgesic usage rate,pain level proportion and total efficacy at postoperative 72 h in two groups were observed.Results: The visual analogue scale score at postoperative 24 h and 72 h and analgesic usage rate at postoperative 72 h in observation group were significantly lower than those in control group(P<0.01).The total rate of pain in observation group and control group were 12.0% and 68.0%,respectively,the difference of which was statistically significant(P<0.01).The totally effective rate in observation group and control group were 100.0% and 90.0%,respectively,the difference of which was statistically significant(P<0.01).Conclusions: Comprehensive nursing intervention can effectively improve the postoperative pain,and promote the postoperative recovery of patients,which is worthy of popularizing.-
Key words:
- pain /
- the disease of ear,nose and throat surgery /
- nursing intervention
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[1] 张庆玲,李会琴.心理护理在减轻耳鼻喉部手术术后疼痛程度的应用体会[J].护士进修杂志,2013,28(6):537-538. [2] Bayrak F,Gunday I,Memis D,et al.A comparison of oral midazolam,oral tramadol,and intranasal sufentanil premedication in pediatric patients[J].J Opioid Manag,2007,3(2): 74-78. [3] 陈海莹.护理干预对减轻外科患者术后疼痛的效果观察[J].中国医药导报,2011,8(2):159. [4] Jones A,Zachariae R.Gender,anxiety,and experimental pain sensitivity: an overview[J].J Am Med Womens Assoc,2002,57(2): 91-94. [5] 李改云.护理干预对减轻外科患者术后疼痛的疗效观察[J].中国伤残医学,2014,22(7):238-239. [6] Breau L.The science of pain measurement and the frustration of clinical pain assessment:Does an individualized numerical rating scale bridge the gap for children with intellectual disabilities[J].Pain,2010,150(2):213-214. [7] 陈霜.耳鼻喉手术患儿的心理特点分析及护理措施[J].中国实用医药,2014,9(6):234-235.[8] Castellano P,Gamiz MJ,Bracero F,et al."Usual" morbidity of pediatric tonsillectomy:a study of 126 cases[J].Acta Otorrinolaringol Esp,2001,52(5):390-395.[8] Castellano P,Gamiz MJ,Bracero F,et al."Usual" morbidity of pediatric tonsillectomy:a study of 126 cases[J].Acta Otorrinolaringol Esp,2001,52(5):390-395. [8] 蔡洁倍,吴洁梅.护理干预在减轻手外伤患者术后疼痛中的作用[J].中国基层医药,2012,19(14):2226-2227. [9] Stelter K,Hempel JM,et al.Application methods of local anaesthetic infiltrations for postoperative pain relief in tonsillectomy:a prospective,randomised,double-blind,clinical trial [J].Otorhinolaryngol,2009,266(10):1615-1620. [10] 钟碧芳,陈静华.护理干预在耳鼻喉科术后并发疼痛中的应用效果[J].护理实践与研究,2013,10(5):37-38. [11] Wise SK,Wise JC,DelGaudio JM.Evaluation of postoperative pain after sinonasalsurgery[J].Am J Rhinol,2005,19(5):471-477. [12] 潘璟.综合护理干预对耳鼻喉手术术后疼痛程度的影响观察[J].基层医学论坛,2014,18(24):3213-3214. [13] Aydin ON,Ugur B,Ozgun S,et al.Pain prevention with intraoperative ketamine in outpatient children undergoing tonsillectomy or tonsillectomy and adenotomy[J].J Clin Anesth,2007,19(2):115-119. [14] Sietsema WK.Standardization of pain measurements in clinical trials[J].Methods Mol Biol,2010,61(77):483-492. -
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