妇科肿瘤患者主要照顾者参与术后疼痛管理的护理指导  

Nursing Guidance for Primary Caregivers of Patients with Gynecologic Tumor in Postoperative Pain Management

作　　者：于秀丽[1] 朴丽[1] 郑雪娇[2] 丛云凤[1] 孟微[2] YU Xiu-li;PIAO Li;ZHENG Xue-jiao;CONG Yun-feng;MENG Wei(Dept.of Gynecology,the First Hospital of Jilin University,Changchun 130021,China;School of Humanities,Northeast Normal University,Changchun 130022,China)

机构地区：[1]吉林大学第一医院妇科,吉林长春130021 [2]东北师范大学人文学院,吉林长春130022

出　　处：《护理学报》2018年第17期41-44,共4页Journal of Nursing（China）

基　　金：吉林省大学生创新性训练项目(201713662032)

摘　　要：目的总结了108名主要家庭照顾者参与妇科肿瘤患者术后疼痛管理的方法。方法选取吉林省某三级甲等医院肿瘤妇科择期开腹或腹腔镜患者的主要家庭照顾者108名作为研究对象,鼓励照顾者参与患者术后疼痛管理,通过做好术前健康宣教,纠正患者及照顾者对疼痛及镇痛药物使用的错误认识,教会照顾者帮助患者减轻术后疼痛的常用方法:帮助患者按压手术切口、疏导不良情绪、穴位按摩、按压镇痛泵,术后常规疼痛评估、床旁指导及加强对照顾者的关注。结果照顾者感受到了通过自己的付出促进了患者舒适,并刷新了对疼痛的认识,患者术后疼痛程度控制良好,疼痛程度评分为(3.06±0.84)分。结论妇科肿瘤患者主要照顾者参与术后疼痛管理,可以提高主要照顾者的术后照护能力及照顾者的自我价值感,消除患者及照顾者对术后疼痛的恐惧,减轻患者术后疼痛的同时也降低疼痛对照顾者的负面影响。同时让患者切实感受到家人的关心和陪伴,以积极的态度配合开展术后功能锻炼如有效咳嗽、深呼吸及早期离床活动等,促进患者术后康复。Objective To summarize the experience of 108 cases of family caregivers of gynecologic cancer patients participating in postoperative pain management.Methods A total of 108 cases of family caregivers of gynecologic cancer patients with elective laparotomy or laparoscopy in a tertiary grade A hospital in Jil Well-prepared preoperative health education he n Province were encouraged to participate ped to remove the misunderstandings of in the management of postoperative pain. pain and pain medications and to learn common methods for reducing postoperative pain including pressing surgical incisions, releasing negative emotions, acupressure pressing analgesia pumps and routine postoperative pain assessment. Caregivers received bedside guidance and got more attention in pain management. Results Caregivers were encouraged to participate in postoperative pain management and they believed they played a role in promoting patients＇ recovery with their own effort, and refreshed their understanding of pain. Patients＇ postoperative pain was well controlled and the pain score was 3.06±0.84. Conclusion With the participation of caregivers in pain management, caregivers＇ care ability and self-worth was improved, which not only relieves patients＇ pain, but promotes the communication in patients＇ family. Thus, patients participate in functional recovery as soon as possible and positively, such as effective cough, deep breath and early ambulation.

关 键 词：妇科 肿瘤 照顾者 术后疼痛 疼痛管理 

分 类 号：R473.71[医药卫生—护理学]