综合干预对降低大面积烧伤病人创面换药时疼痛及不良情绪的影响  

Influence of comprehensive intervention on reducing the pain and negative emotions of large area burn patient when wound dressing

作　　者：程凤芹[1] 尤毅敏[1] 王贵莲[1] 罗韩静[1] 王菊艳[1] 卢妙英[1] 

机构地区：[1]广东省佛山市顺德区第一人民医院

出　　处：《全科护理》2012年第30期2785-2787,共3页Chinese General Practice Nursing

基　　金：佛山市科技局立项课题基金项目;编号:200808122

摘　　要：[目的]探讨综合干预对降低大面积烧伤病人疼痛及不良情绪的影响。[方法]将60例大面积烧伤病人随机分为实验组和对照组,每组各30例。两组病人均实施常规的护理和健康教育,实验组病人在此基础上实施综合干预,内容包括分散注意力干预(感觉干预和行为干预)来控制疼痛和局部麻醉药物喷涂创面干预。两组病人均在入院当天和入院第3天换药完成后10min进行疼痛评分、焦虑程度测定。[结果]大面积烧伤病人综合干预后,实验组疼痛评分、焦虑程度明显低于对照组,经统计学分析有统计学意义(P<0.05)。[结论]综合干预可降低大面积烧伤病人疼痛及不良情绪的发生。Objective：To probe into the influence of comprehensive interven- tion on reducing the pain and negative emotions of patients with large area burn. Methods. A total of 60 patients with large area burn were randomly di- vided into control group and experimental group, 30 cases in each. Routine nursing care and health education were given to all patients in two groups. On this basis, comprehensive interventions included distracting attention in- tervention （sensory interventions and behavioral interventions） to release the pain of patients and local anesthetic spray wounds intervention were given the experimental group cases. For all patients, the scores of pain and degree of anxiety were record in 10min after change of dressings on the same day and the third day of admission. Results：After the comprehensive interven- tions,the scores of pain and degrees of anxiety of patients in experimental group were much lower than those of control group, and the difference was statistically significant （P〈0.05）. Conclusion- Comprehensive interventions can reduce the occurrence of pain and negative emotions in patients with large area burn.

关 键 词：烧伤 分散注意力 表面麻 醉药 疼痛 

分 类 号：R473.6[医药卫生—护理学]