儿童手外伤术后疼痛的护理干预  

THE EFFECTIVENESS OF NURSING INTERVENTIONS FOR POSTOPERATIVE PAIN AFTER HAND INJURY IN CHILDREN

作　　者：刘月花[1] 陈少颜[1] 侯红梅[1] 陈爱琼[1] 罗文洁[1] 

机构地区：[1]暨南大学医学院第五附属医院/清远市人民医院,广东清远511500

出　　处：《现代医院》2014年第2期87-89,共3页Modern Hospitals

摘　　要：目的观察儿童手外伤术后疼痛的护理干预效果。方法将78例手外伤术后患儿随机分为实验组39例和对照组39例。实验组患几分别于术后O～12h，13～24h，25～36h，37—48h内采用针对手术及术后疼痛的非药物护理干预措施，对照组采用手外伤术后常规护理。应用疼痛量表对两组患儿疼痛程度进行评估比较。结果术后12h内两组患儿对疼痛的感受程度差异无统计学意义（p〉0．05），术后13—48h，实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）。结论对手外伤患儿实施适当的护理干预，在手术12h后可有效减少其疼痛感受程度，增加舒适度，促进伤口愈合，有利于患儿手功能的康复。Objective To observe the effectiveness of nursing interventions for postoperative pain after hand injury in children. Method 78 children with hand injuries were randomly divided into experimental groups （39 ca2 ses） and control group （39 cases）. Cases in experimental group were accepted non -drug nursing therapies which target to operative and postoperative pain in 0 - 12 h, 12 -24 h, 24 -36 h, 36 -48 h after surgery. Cases in control group were accepted routine nursing. Efficacies of pain release were assessed by CHEOPS （ Children＇ s Hospital of Eastern Ontario Pain Scale）. Result The senses of pain had no difference with statistical significance between two groups in first 12h after surgery （p 〉0.05）. The senses of pain in experimental group 13 to 48 hrs after operation were less intense than control group, with statistical significance（p 〈 0.05）. Conclusion Appropriate nursing interventions can release postoperative pain in children with hand injuries, thus increase comfort, promote wound healing and benefit the functional recovery of hand.

关 键 词：护理干预 儿童手外伤 术后疼痛 

分 类 号：R614.42[医药卫生—麻醉学]