标准化疼痛管理对犬伤Ⅲ级患者创口疼痛、愈合、负性情绪的影响  

Impacts of standardized pain management on wound pain, healing and negative emotion in patients with grade Ⅲ canine injury

作　　者：钱瑾瑜 QIAN Jinyu(Department of Emergency,Affiliated Hospital of Shaoxing University,Shaoxing 312000,China)

机构地区：[1]绍兴文理学院附属医院急诊科,浙江绍兴312000

出　　处：《中国现代医生》2022年第8期163-165,177,共4页China Modern Doctor

基　　金：浙江省教育厅科研项目(Y202043227)。

摘　　要：目的探讨标准化疼痛管理对犬伤Ⅲ级患者创口疼痛、愈合、负性情绪的影响。方法选择2020年1—10月绍兴文理学院附属医院就诊的60例犬伤Ⅲ级患者进行研究,随机分两组,观察组30例、对照组30例。所有患者均给予注射狂犬疫苗,免疫球蛋白,创口清创等处理。对照组评估其清创前及清创时的疼痛值,并行心电监护呼吸、心率、血压,并做好记录。观察组给标注化疼痛管理。比较两组创口疼痛程度、焦虑抑郁情绪、预后时间。结果①在清创时,观察组VAS低于清创前,并较对照组清创时低(P<0.05);在清创后1 d,两组VAS均显著下降,低于清创前(P<0.05);观察组清创后1 d,VAS较对照组低(P<0.05)。②与入院时比较,出院时焦虑、抑郁程度均下降明显(P<0.05);观察组出院时焦虑、抑郁程度较对照组低(P<0.05)。③平均创口愈合时间观察组为(10.9±1.5)d,低于对照平均创口愈合时间(14.6±2.0)d(P<0.05)。结论犬伤Ⅲ级患者实施标准化疼痛管理可现在缓解创口疼痛程度,促进创口愈合,缓解患者住院期间的焦虑抑郁情绪。Objective To investigate the impacts of standardized pain management on wound pain,healing and negative emotion in patients with gradeⅢcanine injury.Methods A total of 60 patients with gradeⅢcanine injury in the Affiliated Hospital of Shaoxing University from January to October 2020 were randomly divided into the observation group(n=30)and the control group(n=30).All patients were treated with rabies vaccine,immunoglobulin and wound debridement.In the control group,the pain values before and during debridement were evaluated,and the respiration,heart rate and blood pressure were monitored by ECG and recorded.In the observation group,the patients were treated with standardized pain management.The degree of wound pain,anxiety and depression,and prognosis time were compared between the two groups.Results①During debridement,VAS in the observation group was lower than that before debridement and lower than that in the control group(P<0.05).On the first day after debridement,VAS decreased significantly in both groups,which were lower than those before debridement(P<0.05).One day after debridement,VAS in the observation group was lower than that in the control group(P<0.05).②The degrees of anxiety and depression on discharge were significantly lower than those on admission(P<0.05).The degrees of anxiety and depression in the observation group were lower than those in the control group(P<0.05).③The average wound healing time in the observation group was(10.9±1.5)days,while the average wound healing time in the control group was(14.6±2.0)days,with statistically significant difference between the two groups(P<0.05).Conclusion Standardized pain management can relieve the degree of wound pain,promote wound healing and relieve the anxiety and depression of patients during hospitalization.

关 键 词：标准化疼痛管理 犬伤 Ⅲ级 疼痛 创口愈合 负性情绪 

分 类 号：R473.6[医药卫生—护理学]