综合护理干预对开胸术患者疼痛和焦虑反应的影响  

A Study on the Impact of Comprehensive Nursing on Postoperative Pain and Anxiety in Patients after Thoracotomy

作　　者：杜放辉[1] 贺丽娟[2] 李丽明 

机构地区：[1]深圳市宝安区妇幼保健院,广东深圳518133 [2]北京大学深圳医院,广东深圳518036 [3]深圳市光明新区公明医院,广东深圳518106

出　　处：《湖北民族学院学报（医学版）》2012年第1期51-53,共3页Journal of Hubei Minzu University(Medical Edition)

摘　　要：目的评价综合护理干预措施对择期行开胸术患者术后疼痛和焦虑反应的影响。方法 96例患者随机分为对照组和综合干预组(实验组),每组各48例。对照组采用静脉自控镇痛泵(PCA)镇痛,同时由沟通技巧丰富的护师给予疼痛控制知识教育,实验组患者在对照组基础上进行以自我管理教育为主的综合护理干预。采用自拟的一般情况调查问卷表、视觉模拟量表(VAS)和状态-特质焦虑问卷(STAI),进行干预效果评定。结果与对照组比较,实验组患者各时点VAS评分均明显降低(P<0.05)。术后1 d对照组患者状态焦虑明显高于入院时(P<0.05),特质焦虑评分术后3 d明显低于入院时(P<0.05)。组间比较,术后1 d和术后3 d状态焦虑评分实验组均明显低于对照组(P<0.05)。特质焦虑评分术后1 d两组比较差异不明显,术后3 d实验组明显低于对照组(P<0.05)。结论综合护理干预措施能有效缓解心胸外科术后患者焦虑状况,有助于患者术后积极康复。Objective To evaluate the impact of comprehensive nursing interventions on postoperative pain and anxiety in patients undergoing thoracotomy.Methods 96 cases of patients were randomly divided into control group and experimental group,each with 48 cases.The patients in control group were treated with intravenous analgesia plus pain control education by senior nurse with rich communication skills.The patients in experimental group were treated with intravenous analgesia plus self-management pain control education.The patients were given self-made general questionnaire,Visual Analogue Scale（VAS） and State-Trait Anxiety inventory（STAI）;the data were analyzed by SPSS17.0 software.Results Compared with the control group,VAS scores in the experimental group at each time point in patients were significantly lower than those in control group（P0.05）.1 day after operation,the state anxiety of patients in control group was significantly higher than that of patients when hospitalized（P0.05）.3 days after operation,the trait anxiety scores of patients was significantly lower than that of patients when hospitalized（P0.05）.Compared with control group,1 day and 3 days after operation,the state anxiety score in experimental group was significantly lower than that in the control group（P0.05）.1 day after operation trait score in two groups was no significantly different.3 days after operation trait score in experimental group was significantly lower than that in control group（P0.05）.Conclusion Comprehensive nursing intervention can effectively relieve anxiety in patients after thoracotomy,and actively contribute to postoperative rehabilitation.

关 键 词：开胸手术 综合护理 干预 视觉模拟评分 状态焦虑 特质焦虑 

分 类 号：R473.6[医药卫生—护理学]