疼痛护理模式对重症外伤疼痛患者疼痛缓解及生活质量的改善评价  

Evaluation of Pain Nursing Model on pain Relief and Quality of Life in Patients with Severe Traumatic Pain

作　　者：邓蓉 张馨方 DENG Rong;ZHANG Xin - fang(Heze city hospital Heavy Disease Medical division Shandong Heze 274000)

机构地区：[1]菏泽市立医院,山东菏泽274000

出　　处：《中国伤残医学》2019年第11期27-30,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨疼痛护理模式对重症外伤疼痛患者疼痛缓解及生活质量的改善作用.方法:纳入本院2017年5月-2018年9月收治的92例重症外伤疼痛患者作为研究对象,随机将入选对象分为观察组和对照组,各46例,对照组实施临床传统护理方案,观察组则应用疼痛护理模式开展护理工作,分析对比2组术前、术后疼痛评分及护理前、后SAS、SDS、QOL评分,同时对比2组术前、术后睡眠质量受影响情况.另外,将2组患者疼痛缓解情况、护理满意度进行分析对比.结果:术前,2组疼痛评分无统计学意义;术后,观察组疼痛评分明显低于对照组,差异显著,P<0.05;护理前,2组SAS、SDS、QOL评分比较无显著性差异;护理后,观察组SAS、SDS评分均显著低于对照组,而QOL评分显著高于对照组,P<0.05;观察组术前睡眠质量受影响患者与对照组患者人数相当,组间对比无统计学差异;术后1天、术后3天,观察组睡眠质量受影响患者人数均明显少于对照组,P<0.05;观察组疼痛完全缓解率为69.57%,与对照组的30.43%相比明显更高,中度缓解、轻度缓解率分别为28.26%、2.17%,均显著低于对照组的54.35%、15.22%,P<0.05;观察组患者护理满意率为95.65%,与对照组的80.43%相比明显更高,P<0.05.结论:对重症外伤疼痛患者而言,疼痛护理模式的应用具有重要临床意义,可有效缓解患者疼痛程度,改善疼痛缓解情况,提高患者睡眠质量,消除不良心理与负性情绪,同时提高护理满意度,促进良好护患关系,具备较高临床实施意义与应用价值,是一种理想的护理模式.Objective:To explore the effect of pain nursing mode on pain relief and quality of life in patients with severe traumatic pain. Methods:92 severe traumatic pain patients admitted from May 2017 to March 2018 in the September department of orthopedics of our hospital were divided into study group and control group randomly,and divided into study group and control group,46 cases in each group, the control group carried out clinical traditional nursing plan,and the study group used the pain nursing mode to carry out nursing work, and analyzed and compared the pain evaluation before and after the two groups. The scores of SAS, SDS and QOL before and after nursing were scored, and the sleep quality of the two groups before and after operation was compared. In addition, the pain relief and nursing satisfaction of the two groups were analyzed and compared. Results: There was no significant difference in pain score between the two groups before operation. After operation, the pain score of the study group was significantly lower than that of the control group, with significant difierence( P <0. 05). Before nursing, there was no significant difference in the scores of SAS, SDS and QOL between the two groups. After nursing, the scores of SAS and SDS in the study group were significantly lower than those in the control group, while the QOL score was significantly higher than that in the control group,P <0. 05;The sleep quality of the study group was similar to that of the control group,and there was no significant difference between the two groups. After Id and 3d,the sleep quality of the study group was significantly lower than that of the control group, P <0. 05;The total relief rate of pain in the study group was 69. 57%, which was significantly higher than that of the control group(30.43%). The rate of moderate remission and mild remission was 28. 26% and 2. 17% respectively, which were significantly lower than 54. 35% and 15.22% of the control group,P <0. 05. The satisfaction rate of patients in the study group was 95.

关 键 词：疼痛护理模式 重症外伤疼痛 疼痛缓解 生活质量 睡眠质量 负性情绪 护理满意度 

分 类 号：R473[医药卫生—护理学]