探讨在肝癌开腹术后患者疼痛控制中采用多模式镇痛护理干预的影响  

Objective to Explore the Effect of Multimodal Analgesia Nursing Intervention on Pain Control in Patients with Liver Cancer after Open Surgery

作　　者：高丽华[1] GAO Lihua(Tumor Ward 1,Dalian Third People's Hospital,Dalian 116033,China)

机构地区：[1]大连市第三人民医院肿瘤一病区,辽宁大连116033

出　　处：《中国医药指南》2021年第21期142-143,共2页Guide of China Medicine

摘　　要：目的试验将针对肝癌开腹术后患者应用多模式镇痛护理干预措施,进一步缓解疼痛,提升患者的术后康复安全性与护理成效。方法本次试验选取2018年6月至2020年5月收治的92例患者为研究对象,采用随机分组策略。对照组患者采用常规护理措施,观察组则为多模式镇痛护理干预措施,分析护理成果。结果从术后12 h、24 h、48 h患者疼痛度上分析,观察组NRS评分均明显低于对照组,差异具有统计学意义(P<0.05)。在术后心理状态的改善上,观察组患者的焦虑、抑郁情绪控制得分为(41.00±2.30)分和(41.20±2.70)分,对照组则为(55.40±2.80)分和(57.90±4.30)分,差异具有统计学意义(P<0.05)。在护理满意度方面上,观察组患者满意率为97.83%,对照组为84.78%,差异具有统计学意义(P<0.05)。结论采用多模式镇痛护理方案有助于缓解肝癌开腹手术患者的病痛,减轻心理治疗压力,并有助于患者的早日康复,可进一步推广应用。Objective The experiment will be for liver cancer patients after open surgery application of multimodal analgesia nursing intervention measures to further alleviate pain,improve the safety of postoperative rehabilitation and nursing effect of patients.Methods Ninety-two patients with liver cancer from June 2018 to may 2020 were randomly divided into two groups.The control group was given routine nursing measures,while the observation group was given multi-mode analgesic nursing intervention.Results From the analysis of the pain degree of patients at 12 hours,24 hours,and 48 hours after operation,the NRS scores of the observation group were significantly lower than those of the control group,and the difference was statistically significant(P<0.05).In the improvement of postoperative psychological state,the scores of anxiety and depression control in the observation group were(41.00±2.30)and(41.20±2.70),while those in the control group were(55.40±2.80)and(57.90±4.30),with statistical significance(P<0.05).In terms of nursing satisfaction,the satisfaction rate of patients in the observation group was 97.83%and that in the control group was 84.78%,the difference was statistically significant(P<0.05).Conclusion The application of multimodal analgesia nursing program is helpful to relieve the pain of patients with liver cancer undergoing open surgery,relieve the pressure of psychological treatment,and help patients recover as soon as possible,which can be further promoted and applied.

关 键 词：肝癌 开腹术后 疼痛控制 多模式镇痛护理干预 不良情绪 

分 类 号：R473.73[医药卫生—护理学] R735.7[医药卫生—临床医学]