护理干预对骨科术后患者使用镇痛药的效果分析  

Effect of Nursing Intervention on the Use of Analgesics in Patients After Orthopedic Surgery

作　　者：张华[1] 梁爱华[2] ZHANG Hua;Liang Aihua(Department of Trauma Medicine,the Third Affiliated Hospital of Xinxiang Medical College,Xinxiang 453003,Henan,China;Department of Nursing,the Third Affiliated Hospital of Xinxiang Medical College,Xinxiang 453003,Henan,China)

机构地区：[1]新乡医学院第三附属医院创伤医学科,河南新乡453003 [2]新乡医学院第三附属医院护理部,河南新乡453003

出　　处：《中国药物滥用防治杂志》2022年第4期532-535,540,共5页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：河南省医学科技攻关计划(联合共建)项目(编号:LHGJ20190491)。

摘　　要：目的:探讨护理干预对骨科术后患者使用镇痛药的效果。方法:选择2019年2月—2021年2月该院收治的140例骨科术后患者作为研究对象,随机分为干预组和对照组,各70例。对照组采用常规护理,干预组在对照组基础上采用护理干预,比较两组护理满意度、术后疼痛程度、焦虑情绪状态、睡眠质量、术后疼痛认知、疼痛持续时间、镇痛药物使用量、出院时间、术后镇痛药使用率。结果:干预组护理满意度为98.6%,高于对照组的85.7%,差异有统计学意义(P<0.05);干预组术后疼痛程度评分、焦虑情绪状态评分、睡眠质量评分、术后疼痛认知评分、疼痛持续时间、镇痛药物使用量、出院时间优于对照组,差异有统计学意义(P<0.05);干预组术后镇痛药使用率小于对照组,差异有统计学意义(P<0.05)。结论:护理干预可提高骨科术后患者满意度,减轻术后疼痛程度,缓解焦虑情绪状态,提高睡眠质量,减少术后镇痛药物使用量。Objective:To investigate the effect of nursing intervention on the use of analgesics after orthopedic surgery.Methods:A total of 140 postoperative orthopaedic patients admitted to the Third Affiliated Hospital of Xinxiang Medical College from February 2019 to February 2021 were selected as the research subjects and randomly divided into the control group(n=70,using routine care)and the intervention group(n=70,using nursing intervention on the basis of the control group).The nursing satisfaction,postoperative pain degree,anxiety state,sleep quality,postoperative pain cognition,pain duration,analgesic drug use,discharge time and postoperative analgesic drug use rate were compared between the two groups.Results:In the intervention group,43 cases were satisfied,26 cases were normal,and 1 case was dissatisfied,and the nursing satisfaction was 98.6%,which was higher than that in the control group(P<0.05).The postoperative pain degree score,anxiety state score,sleep quality score,postoperative pain cognition score,pain duration,analgesic drug usage,and discharge time in the intervention group were better than those in the control group(P<0.05);2 cases in the intervention group used analgesics after operation,accounting for 2.9%;12 cases in the control group used analgesics after operation,accounting for 17.1%;the postoperative analgesic usage rate in the intervention group was lower than that in the control group(P<0.05).Conclusion:Nursing intervention can improve the satisfaction of patients after orthopedic surgery,reduce postoperative pain,relieve anxiety,improve sleep quality,and reduce the use of postoperative analgesic drugs.

关 键 词：护理干预 骨科 术后 镇痛药 效果 

分 类 号：R473.6[医药卫生—护理学]