妇科无痛化病房对患者疼痛护理满意度及术后康复的影响  

Department of Gynaecology Painless Ward Pain Nursing on the Patients Satisfaction and the Effect of Postoperative Rehabilitation

作　　者：刘晓 胡兰新[1] 汤雯倩[1] 李贵萍[1] 

机构地区：[1]江西省妇幼保健院,江西南昌330006

出　　处：《中国医学创新》2017年第21期103-107,共5页Medical Innovation of China

摘　　要：目的:确定构建妇科无痛化病房对提高术后患者疼痛护理满意度及康复的影响。方法:随机抽取江西省妇幼保健院200例拟行妇科手术患者,将患者分为试验组和对照组,每组100例。对照组进行常规疼痛健康教育和护理干预,试验组患者在常规疼痛护理基础上实行无痛化病房管理模式。干预后,比较两组患者对疼痛护理的满意度及术后康复情况。结果:试验组患者使用PCA泵、杜冷丁、止痛片镇痛以及呼叫疼痛的次数均少于对照组,差异均有统计学意义(P<0.05)。试验组患者对疼痛护理满意度明显高于对照组,差异有统计学意义(P<0.01)。试验组患者首次肛门排气时间、首次下床时间及住院天数均明显短于对照组,而24 h和48 h睡眠时间均长于对照组,差异均有统计学意义(P<0.01)。结论:妇科无痛病房以患者为中心,实施规范化的疼痛管理,提高了护士的疼痛管理知识和技能,改善了妇科患者术后镇痛质量,提高了患者的满意度,有效促进了患者术后康复。Objective： To determine the building of department of gynaecology painless ward to improve postoperative pain in patients with nursing satisfaction and the effects of rehabilitation.Method： 200 patients undergoing gynecological surgery in Jiangxi Maternal and Child Health Hospital were selected, they were randomly divided into experimental group and control group, 100 cases in each group.The control group was given routine pain health education and nursing intervention, the experimental group of patients with painless ward management mode in the conventional pain nursing.After the intervention, the patient＇s satisfaction to pain nursing and postoperative recovery of two groups were compared.Result： The patients in the experimental group used the PCA pump, demerol, pain reliever and call pain frequency were less than the control group, the differences were statistically significance （ P〈0.05 ） .The pain nursing satisfaction of patients in the experimental group was significantly higher than that in control group, the difference was statistically significant （ P〈0.01 ） .The anal exhaust time, first ambulation time and hospital stay of the experimental group were significantly shorter than those in control group, and 24 h and 48 h sleep time were longer than those in control group, the differences were statistically significant （P〈0.01） .Conclusion： Painless wards of department of gynaecology to patients as the center, the implementation of standardized pain management, improve the nurses＇ pain management knowledge and skills, improve the quality of gynecological patients postoperative analgesia and improve the patient＇s satisfaction, effectively promote the patients＇ postoperative rehabilitation.

关 键 词：无痛化病房 疼痛护理 满意度 康复 

分 类 号：R473.71[医药卫生—护理学]