儿童术后疼痛护理评分与患儿静息痛及活动性疼痛自评结果的比较  

Comparative the children's postoperative pain nursing score and the self-assessed results of resting pain and active pain

作　　者：王敬华[1] 李秀红[1] 张彬[1] 李素芳[1] WANG Jing-hua;LI Xiu-hong;ZHANG Bin;LI Su-fang

机构地区：[1]深圳市儿童医院骨科二病区,深圳市518026

出　　处：《护理实践与研究》2020年第10期104-106,共3页Nursing Practice and Research

摘　　要：目的比较儿童术后疼痛护理评分与患儿术后静息及活动性疼痛自评结果的差异。方法将我院2018年3月至2019年9月收治的48例膝关节手术后患儿作为研究对象,根据其疼痛情况记录不同时间点疼痛评分情况,记录其静息痛及活动性疼痛和护理记录其疼痛强度评分,将三者进行比较。结果术后当天、术后第1天及术后第2天,患儿疼痛护理记录与自评静息性疼痛评分相对接近,差异无统计学意义(P>0.05);而其自评活动性疼痛评分均明显较护理记录及自评静息痛评分高(P<0.05)。患儿疼痛护理记录与自评静息性疼痛程度差异无统计学意义(P>0.05);而其自评活动性疼痛程度明显超过护理记录和自评静息状态的疼痛程度(P<0.05)。结论护理过程中忽略活动性疼痛及缺乏术后活动性疼痛评估,将导致护理疼痛评估结果低于患儿自身疼痛强度。应提高术后活动性疼痛评估关注度,针对早期功能锻炼情况对患儿予以疼痛干预。Objective Comparative difference between children's postoperative pain nursing score and the self-assessed results of resting pain and active pain.Methods To select 48 cases of children patients with knee joint surgery admitted in our hospital from March 2018 to September 2019 as the study objects,according to their pain,the pain scores at different time points were recorded,and the score of pain intensity in their resting pain,active pain and nursing records were recorded to compare the three.Results On the day after surgery,the first day after surgery,and the second day after surgery,the children patients'pain care record was relatively close to the self-assessed score of their resting pain,and the difference was no statistically significant(P>0.05);while the self-assessed active pain score was significantly higher than the score of the care record and self-assessed resting pain(P<0.05).There was no significant difference in children patients'pain care record and self-assessed of their resting pain degree between the two groups(P>0.05);while the degree of self-assessed active pain was significantly more than the degree of the care record and self-assessed resting pain(P<0.05).Conclusion Ignoring active pain during the nursing process and lack of postoperative active pain assessment will result in the assessment of nursing pain being lower than the children patients'own pain intensity.The attention of the postoperative active pain assessment should be increased,and the related pain intervention should be given to the children patients based on early functional exercise.

关 键 词：儿童 术后护理 静息疼痛 活动性疼痛 

分 类 号：R473.72[医药卫生—护理学]