非药物护理措施对学龄期儿童急性阑尾炎术后疼痛的影响  

The effects of non-pharmacological interventions on the postoperative pain in school-aged children with appendectomy

作　　者：张芳[1] 张琳琪[1] 陈昭兰[1] 周红[1] 李莉[1] 史学[1] 

机构地区：[1]首都医科大学附属北京儿童医院外科,北京市100045

出　　处：《中华护理杂志》2009年第7期583-585,共3页Chinese Journal of Nursing

摘　　要：目的了解实施非药物护理措施对学龄期(6-12岁)患儿术后疼痛变化规律的影响。方法采取随机对照法将80例急性阑尾炎手术后的学龄期患儿分成两组,试验组患儿分别于术前、术后0-8h内、8-16h内、16-24h内、24-32h采用针对手术及术后疼痛的非药物护理措施,对照组未采用该护理措施。采用视觉类比量表(VAS)、儿童手术后疼痛行为量表(FLACC)对两组患儿疼痛程度进行评估比较。结果术后0-8h,两组对疼痛的感受差异无统计学意义(P>0.05),而在术后8-32h,试验组对疼痛的感受程度低于对照组,差异有统计学意义(P<0.05)。结论对学龄期患儿实施适当的非药物护理措施,在阑尾炎手术8h后能够有效减少其疼痛感受程度,增加患儿的舒适度。Objective To evaluate the effects of non-pharmacological interventions on the postoperative pain in school-aged children with appendectomy. Methods Eighty school-aged children with appendectomy were randomly divided into two groups. Various non-pharmacological pain management measures were provided for the children in the experimental group pre-operatively and at 0-8 h,8-16 h,16-24h,16-32h postoperatively. The intensity of postoperative pain was assessed by Visual Analogue Scale（VAS） and FLACC Scale. Results There was no significant difference between the two groups at the first postoperative 8 hours（P〉0.05）,while the children＇s pain in the experimental group was significantly lower than that of control group at 8-32h postoperatively （P〈0.05）. Conclusion Appropriate non-pharmacological nursing interventions can effectively reduce postoperative pain in school-aged children with appendectomy.

关 键 词：儿童(6—12) 阑尾炎 疼痛 手术后 护理 

分 类 号：R473.72[医药卫生—护理学]