疼痛管控结合共情护理措施在急诊科患者中的应用分析  

Use of pain management and empathy nursing for patients in Emergency Department

作　　者：黄秀[1] 金清河 金盈盈[1] 闻浩[1] Huang Xiu;Jin Qinghe;Jin Yingying;Wen Hao(Department of Adult Emergency,Second Affiliated Hospital of Wenzhou Medical University,Zhejiang 325000,China)

机构地区：[1]温州医科大学附属第二医院成人急诊科,325000

出　　处：《中国药物与临床》2018年第9期1482-1485,共4页Chinese Remedies & Clinics

基　　金：浙江省温州市科技计划项目(Y20160610)

摘　　要：目的探讨疼痛管控结合共情护理措施在急诊科患者中的应用效果。方法选取2016年12月至2017年12月我院急诊科接收的80例患者进行研究。按照随机数字表法将其均分为2组,每组40例。对照组采取常规疼痛治疗以及常规的护理干预措施,观察组采取规划化的疼痛管控以及共情护理措施。比较分析2组患者的疗效,治疗总依从率以及对护理的满意程度,对患者护理前后情绪状态、疼痛情况进行评估,分析疼痛管控结合共情护理措施的临床价值。结果治疗后,观察组总有效率(95%)明显高于对照组(80%),差异有统计学意义(χ~2=4.114,P=0.043)。在治疗过程中,观察组的依从程度(98%)明显好于对照组(85%),差异有统计学意义(χ~2=3.914,P=0.048)。观察组对护理的满意程度(97%)明显高于对照组(77%),差异有统计学意义(χ~2=5.192,P=0.023)。治疗前,2组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分差异无统计学意义(P>0.05);治疗后,SAS、SDS评分均比治疗前减小,且观察组的SAS、SDS评分明显比对照组低,差异具有统计学意义(P<0.05)。2组患者治疗前的疼痛评估指数(PRI)、现时疼痛强度(PPI)、视觉模拟量表(VAS)评分的比较差异无统计学意义(P>0.05);2组患者治疗后的PRI、PPI、VAS评分均比治疗前减小,且观察组的各项评分明显比对照组低,差异具有统计学意义(P<0.05)。结论对急诊科患者进行疼痛管控结合共情护理措施,不仅可以提高治疗的临床效果,有效缓解患者的疼痛情况以及改善患者的不良情绪,也能够提高患者的治疗依从度以及护理满意度,临床应用价值较高。Objective To investigate the effect of pain management and empathy nursing for the patients in the emergency Department. Methods Eighty patients, who stayed in the Emergency Department of our hospital between December 2016 and December 2017, were included in the study. All patients were randomly divided into two groups （n=40 each）. The control group received the routine pain treatment and nursing interventions. The study group was given the planned pain management and empathy nursing. The therapeutic effect, total compliance rate and nursing satis- faction in the two groups were compared and analyzed. The emotional state and pain severity of the patients were evaluated before and after the nursing. The clinical value of the pain management and empathy nursing was determined. Results After the treatment, the total eftective rate in the study group （95%） was significantly higher than that in the control group （80%）, and the difterenee was statistically significant （χ^2=4.114, P=0.043）. During the treat- ment, the total compliance rate in the study group （98%） was significantly higher than that in the control group （85%）, and the ditterenee was statistically significant （χ^2=3.914, P=0.048）. The satisfaction rate of nursing in the study group （97%）was significantly higher than that in the control group （77%）, and the difference was statistically significant （χ^2=5.192, P=0.023）. There were no statistically significant differences in the SAS and SDS scores between the two groups betore the treatment （P〉0.05）. The scores of SAS and SDS after the treatment decreased com- pared with those before the treatment, and the SAS and SDS scores in the study group were significantly lower than those in the control group （both P〈0.05）. There were no statistically significant differenees in the scores of PRI, PPI and VAS before the treatment between the two groups （P〉0.05）. The scores of PRI, PPI and VAS after the treatment decreased in the lwo groups compared with those

关 键 词：疼痛管理 心理护理 患者依从 患者满意度 急诊室 医院 

分 类 号：R472.2[医药卫生—急诊医学]