技巧性沟通配合路径化疼痛管理在内镜下内痔硬化治疗患者中的应用效果观察  

Application effect of skillful communication combined with pathway pain management on patients with hemorrhoids undergoing endoscopic sclerotherapy

作　　者：张春燕[1] 田正方 朱经科 晁燕如 丁小玉 刘辛远 王芳 黄宏春[1] Zhang Chunyan;Tian Zhengfang;Zhu Jingke;Chao Yanru;Ding Xiaoyu;Liu Xinyuan;Wang Fang;Huang Hongchun(Department of Nursing,the People's Hospital of Anyang City,Anyang 455000,China)

机构地区：[1]安阳市人民医院护理部,安阳455000

出　　处：《中华现代护理杂志》2022年第14期1932-1937,共6页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关项目(2018021010)。

摘　　要：目的观察技巧性沟通配合路径化疼痛管理在内镜下内痔硬化治疗患者中的应用效果。方法采用便利抽样法,选取2020年9月—2021年8月于安阳市人民医院接受内镜下内痔硬化治疗的85例患者作为研究对象,将其分为干预组(44例)和对照组(41例)。对照组给予常规护理干预,观察组在对照组基础上予以技巧性沟通配合路径化疼痛管理干预。比较两组患者术前及术后12、24、48、72 h的疼痛程度(VAS),以及干预前后患者负面情绪[焦虑(SAS)、抑郁(SDS)]、心理弹性(CD-RISC)、生活质量(WHOQOL-BREF)评分。结果与术前比较,干预组术后12、24、48、72 h的VAS评分降低,且干预组术后各时间点的VAS评分均低于对照组,差异均有统计学意义(P<0.05)。干预后,两组患者的SAS、SDS评分均低于干预前,且干预组干预后的SAS、SDS评分低于对照组,差异均有统计学意义(P<0.05)。两组患者干预后的CD-RISC各维度评分均高于干预前,且干预组干预后的CD-RISC各维度评分高于对照组,差异均有统计学意义(P<0.05)。两组患者干预后的WHOQOL-BREF各维度评分均高于干预前,且干预组干预后的WHOQOL-BREF各维度评分高于对照组,差异均有统计学意义(P<0.05)。结论技巧性沟通配合路径化疼痛管理能降低内镜下内痔硬化治疗患者的疼痛程度,缓解患者负面情绪,提高其心理弹性及生活质量,值得临床推广。Objective To observe the application effect of skillful communication combined with pathway pain management on patients with hemorrhoids undergoing endoscopic sclerotherapy.Methods Using the convenient sampling method,a total of 85 patients who received endoscopic sclerotherapy of internal hemorrhoids in the People's Hospital of Anyang City from September 2020 to August 2021 were selected as the research objects.They were divided into the intervention group(44 cases)and the control group(41 cases).The control group was given routine nursing intervention,while the observation group was given skillful communication combined with pathway pain management on the basis of the control group.The pain level(VAS)before and 12,24,48,and 72 hours after the operation,as well as the negative emotions[anxiety(SAS),depression(SDS)],resilience(CD-RISC)and quality of life(WHOQOL-BREF)score of patients before and after the intervention were compared between the two groups.Results Compared with before operation,the VAS scores of the intervention group at 12,24,48 and 72 h after operation were lower,and the VAS scores of the intervention group at each time point after operation were lower than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,SAS and SDS scores of patients of the two groups were lower than those before the intervention,and SAS and SDS scores of the intervention group after the intervention were lower than those of the control group,and the differences were statistically significant(P<0.05).The scores of each dimension of CD-RISC after intervention in the two groups were higher than those before intervention,and the scores of each dimension of CD-RISC in the intervention group after intervention were higher than those in the control group,and the differences were statistically significant(P<0.05).The scores of each dimension of WHOQOL-BREF in the two groups after intervention were higher than those before intervention,and the scores of each dimension of WHOQOL

关 键 词：疼痛 疼痛管理 技巧性沟通 心理弹性 生活质量 

分 类 号：R473.6[医药卫生—护理学]