健康教育对术后静脉自控镇痛泵镇痛效果满意度的影响  

Effect of postoperative education on PCIA satisfactory degree of patients after operation

作　　者：周丽[1] 周芬[1] 宋世兰[1] 杨建平[1] 

机构地区：[1]重庆医科大学附属永川医院麻醉科,重庆402160

出　　处：《现代医药卫生》2014年第14期2104-2106,共3页Journal of Modern Medicine & Health

摘　　要：目的：通过术后健康教育提高患者对术后静脉自控镇痛泵（PCIA）镇痛效果的满意度。方法选取2013年2-10月该院下肢骨折全身麻醉插管术后使用PCIA的患者100例，分为对照组50例，由麻醉医师常规术前访视时介绍自控镇痛泵的使用方法；观察组50例，除麻醉医师常规术前教育外，术后返回病房后由麻醉护士再次对患者及家属进行PCIA的使用宣教，自设访谈问卷，使用访谈法48 h后停止使用镇痛泵时收集两组患者术后PCIA使用情况、镇痛效果及镇痛满意度的临床资料。结果观察组镇痛泵的使用情况、镇痛效果及镇痛满意度明显优于对照组，组间比较差异有统计学意义（P〈0.05）。结论通过术后再次宣教，患者PCIA的术后使用情况、镇痛效果及满意度均得到改善与提高。Objective To improve the satisfactory of analgesic effect of patient-controlled intravenous analgesia（PCIA） after operation by postoperative health education. Methods A hundred patients with fracture of lower limb ,who were employed PCIA after general anesthesia intubation from February to October 2013 ,were selected and randomized into two groups：the con-trol group（n=50） was only with the application introduction of PCIA by anesthetists on routine preoperative visit ,and the observa-tion group（n=50）,except the routine preoperative education from anesthetists,were with application propaganda of PCIA from nurse anesthetist after operation. Self-designed questionnaires were used to collect the clinical data including usage condition of PCIA and analgesia satisfaction 48 h after interviewing method when pulling the PCIA. Results The usage condition of PCIA,anal-gesic effect and satisfactory degree in the observation group were all better than those in the control group ,and the difference had statistical significance（P〈0.05）. Conclusion By reeducation after operation,the usage condition of PCIA after operation,anal-gesic effect and satisfactory are all improved.

关 键 词：健康教育 镇痛 病人控制 手术后期间 病人满意度 

分 类 号：R737.9[医药卫生—肿瘤]