护理干预对缓解膝关节置换术后疼痛的效果  

Effect of nursing intervention on pain reduction in patients after knee replacement

作　　者：王莉茹[1] 康士萍[1] 

机构地区：[1]包头市第四医院,内蒙包头014040

出　　处：《包头医学院学报》2017年第1期78-80,共3页Journal of Baotou Medical College

摘　　要：目的:探讨护理干预对缓解膝关节置换术后疼痛的效果。方法:将84例膝关节置换术后患者随机分为观察组和对照组,各42例。对照组给予常规人工膝关节置换术后护理,观察组在对照组的基础上实施心理、行为、认知、药物联合护理,采用视觉模拟评分法(visual analogue scale,VAS)对两组患者进行疼痛程度评价,同时比较患者对疼痛管理的满意度。结果:观察组患者轻度疼痛率高于对照组(P<0.05),而中度疼痛率、重度疼痛率和极度疼痛率均低于对照组(P<0.05);观察组患者的满意度优于对照组(P<0.05)。结论:护理干预可缓解患者膝关节置换术后的疼痛,利于患者在术后尽早进行功能锻炼。Objective： To explore the effect of nursing intervention on pain reduction after knee replacement. Methods：84 patients who underwent knee arthroplasty were randomly divided into intervention group and control group （ n = 42 ）. The control group was given conventional nursing after knee arthroplasty, while the intervention group was implemented with treatment containing psychology, behavior, and cognition, associated with drug application on the basis of the conventional nursing. The pain degree of the two groups was evaluated in the method of visual analogue scale （VAS） and patients＇satisfaction with pain management was comparatively analyzed. Results ：The rate of mild pain in the intervention group was higher than that in the control group（ P 〈0.05 ）, but the rate of moderate pain and extreme pain was lower than that in the control group（ P 〈0.05 ）. The satis- faction degree for nursing in the intervention group was greater than that of the control group （ P 〈 0.05 ） Conclusion： Nursing intervention can ease patients＇pain after knee replacement, which is helpful in encouraging patients to do functional exercise early.

关 键 词：护理干预 膝关节置换 术后 疼痛 

分 类 号：R473.6[医药卫生—护理学]