护理管理应用于膀胱痉挛性疼痛患者的临床观察  

Clinical observation of the application of nursing management to bladder spasmodicpain patients

作　　者：吴云鸿[1] 金荷莲 李丁 Wu Yunhong;Jin Helian;Li Ding(Urinary Surgery Department,the Second People＇s Hospital of Wuxi City in Jiangsu Province,Wuxi 214000,China)

机构地区：[1]江苏省无锡市第二人民医院泌尿外科,214000 [2]复旦大学附属华山医院泌尿外科

出　　处：《国际护理学杂志》2018年第21期2881-2885,共5页international journal of nursing

基　　金：上海市卫生和计划生育委员会青年科研项目（2015Y0048）

摘　　要：目的探讨PDCA循环疼痛护理管理应用于经尿道前列腺电切除术后膀胱痉挛性疼痛患者的效果。方法选取2015年6月～2016年10月该院泌尿外科收治的经尿道前列腺电切除术后膀胱痉挛性疼痛的患者86例作为研究对象。按照入院先后顺序分为对照组和观察组，各43例。对照组行常规护理，观察组行PD．CA循环疼痛护理管理。比较两组镇痛指标、术后恢复情况、护理总满意度。结果观察组术后12-60h疼痛持续时间、痉挛性疼痛次数、膀胱内压、视觉模拟评分低于对照组，差异均有统计学意义（均P〈0．05）。观察组拔尿管时间、尿转清时间、镇痛液使用量、住院天数、膀胱持续冲洗时间、留置尿管时间均低于对照组，差异有统计学意义（均P〈0．05）。观察组护理总满意度高于对照组，差异有统计学意义（P〈0．05）。结论PDCA循环疼痛护理管理应用于经尿道前列腺电切除术后膀胱痉挛性疼痛患者中可缓解患者术后疼痛，促进其术后恢复，提高护理总满意度，值得临床推广应用。Objective To investigate the effect of PDCA circular pain management in patients with spasmodic pain after transurethral resection of prostate. Methods A total of 86 cases of spasmodic pain of bladder after transure-thral resection of prostate in urology department of this hospital from June 2015 to October 2016 were selected as the re-search objects. According to the sequence of admission, the patients were divided into the control group and the obser-vation group, 43 cases of each group. The control group was given routine nursing care. The observation group was treated with PDCA cycle pain nursing management. The analgesic indexes, postoperative recovery and nursing overall satisfaction were compared between the two groups. Results The duration of pain, the number of spastic pain, the bladder pressure and the visual analogue score of the observation group were lower than those of the control group at 12 hours to 60 hours after operation, and the differences were statistically significant （ P〈0.05 ） . In the observation group, the time of catheter removal, urinary clearance, analgesic fluid usage, length of stay, bladder continuous flushing and urinary catheter indwelling were all lower than the control group, with statistically significant differences （P〈0.05）. The overall satisfaction of the observation group was higher than that of the control group, and the differ-ence was statistically significant （ P〈0.05） . Conclusions The application of PDCA circular pain nursing management in patients with spasmodic pain after transurethral prostatectomy can alleviate postoperative pain, promote postoperative recovery, and improve the general nursing satisfaction, which is worthy of clinical application.

关 键 词：PDCA循环疼痛护理管理 经尿道前列腺电切除术 膀胱痉挛性疼痛 临床效果 

分 类 号：R473.6[医药卫生—护理学]