综合护理干预对缓解肛门疾病术后患者疼痛的效果观察  

The effect observation of comprehensive intervention on postoperative pain of patients with rectal disease

作　　者：王凤[1] 张文俊[2] 于惠芝[3] 于克玲 陈代松[3] 齐红秋 刘晶[3] Wang Feng Zhang Wenjun＇ Yu Huizhi Yu Keling Chen Daisong Qi Hongqiu Liu Jing(Department of Proctology, Dalian University Affiliated Xinhua Hospital, Dalian 116021, China)

机构地区：[1]大连大学附属新华医院急诊科,116021 [2]大连大学附属新华医院结直肠肛门外科,116021 [3]大连大学附属新华医院门诊部,116021

出　　处：《中国实用护理杂志》2017年第18期1395-1398,共4页Chinese Journal of Practical Nursing

摘　　要：目的 探讨综合护理干预对缓解肛门疾病术后患者疼痛的效果.方法 将2015年5月至2016年5月收治的200例肛门疾病术后疼痛患者按序贯不平衡指数法随机分为2组各100例,对照组采用药物治疗和常规护理,观察组采用药物治疗加上综合干预护理,比较2组患者的疼痛改善情况、心理状态、睡眠质量.结果 观察组术后4、6、12、24、48 hVAS疼痛评分为（2.1±0.6）、（3.3±0.4）、（3.5±0.3）、（2.3±0.5）、（1.9±0.5）分,均明显低于对照组的（3.0±0.5）、（5.1±0.6）、（6.2±0.6）、（5.7±0.8）、（5.8±0.5）分,差异有统计学意义（t=8.539-38.806,P〈0.05）;观察组护理后焦虑自评量表评分为（20.32±6.16）分,明显低于对照组的（35.58±7.43）分,差异有统计学意义（t=41.188,P〈0.05）;观察组睡眠质量、睡眠时间、入睡时间、睡眠效率等匹兹堡睡眠质量指数问卷评分为（0.91±0.28）、（0.86±0.25）、（0.83±0.27）、（0.59±0.31）、（0.62±0.27）、（0.58±0.41）、（4.39±1.79）分,均明显优于对照组的（1.61±0.88）、（1.32±0.75）、（1.59±0.89）、（1.34±0.58）、（1.36±0.45）、（1.29±0.86）、（8.51±3.55）分,差异有统计学意义（4.577-17.740,P〈0.05）.结论 综合干预对缓解肛门疾病术后疼痛效果明显,有利于减轻患者疼痛反应,改善睡眠质量,达到身心舒适状态,具有积极的临床意义.Objective To explore the effect of comprehensive intervention on postoperative pain of patients with rectal disease. Methods A total of 200 patients with postoperative pain after the treatment of anorectal perianal disease from May 2015 to May 2016 were randomly divided into two groups with 100 cases each. The control group was treated with drugs and usual nursing, the observation group were adopted drugs and comprehensive nursing intervention. The improvement of pain, psychological states and the quality of sleep were compared between two groups. Results The VAS pain scores at 4, 6, 12, 24, 48 h after treatment was （2.1 ± 0.6）, （3.3 ± 0.4）, （3.5 ± 0.3）, （2.3 ± 0.5）, （1.9 ± 0.5） points in the observation group, and （3.0 ± 0.5）, （5.1 ± 0.6）, （6.2 ± 0.6）, （5.7 ± 0.8）, （5.8 ± 0.5） points in the control group, and the difference was statistically significant （t=8.539-38.806, P 〈 0.05）. The Self-rating Anxiety Scale was （20.32 ± 6.16） points in the observation group, and （35.58 ± 7.43） points in the control group, and the difference was statistically significant （t=41.188, P〈0.05）. The sleep quality, the amount of sleep , sleep time, sleep efficiency of Pittsburgh Sleep Quality Index Questionnaire scores was （0.91±0.28）, （0.86±0.2）, （0.83±0.27）, （0.59±0.31）, （0.62±0.27）, （0.58±0.41）, （4.39±1.79） points in the observation group, and （1.61± 0.88）, （1.32 ± 0.75）, （1.59 ± 0.89）, （1.34 ± 0.58）, （1.36 ± 0.45）, （1.29 ± 0.86）, （8.51 ± 3.55） points in the control group, and the difference was statistically significant （t=4.557-17.740, all P〈0.05）. Conclusions The comprehensive intervention on postoperative pain relief in patients with anal disease is significant, it is beneficial to relieve the pain response, improve sleep quality, and achieve physical and psychological comfort, and has a positive effect to clinical.

关 键 词：痔 肛裂 肛门疾病 疼痛 手术后 护理 

分 类 号：R473.6[医药卫生—护理学]