基于循证护理的多模式镇痛管理对脊柱结核患者的影响  

Effect of Multimodal Analgesia Management Based on Evidence-based Nursing in Patients with Spinal Tuberculosis

作　　者：陈素虹 CHEN Suhong(Donghai Hospital,the Second Affiliated Hospital of Fujian Medical University,Quanzhou 362000,China)

机构地区：[1]福建医科大学附属第二医院东海院区,福建泉州362000

出　　处：《中外医学研究》2022年第17期91-94,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨基于循证护理的多模式镇痛管理对脊柱结核患者的影响。方法:选取福建医科大学附属第二医院东海院区2019年4月-2021年4月收治的80例脊柱结核患者,按随机数字表法分为对照组和观察组,各40例,对照组采用常规护理模式,观察组采用基于循证护理的多模式镇痛管理,两组均连续干预2周。对两组干预前后的疼痛程度、睡眠质量、生活质量、负性情绪、依从性进行分析。结果:干预1、3 d后疼痛评分均低于干预前,干预3 d后的疼痛评分低于干预1 d后,且观察组低于对照组(P<0.05);干预2周后两组的睡眠质量评分、焦虑、抑郁评分均低于干预前,且观察组低于对照组(P<0.05);干预2周后两组的生活质量评分均高于干预前,且观察组高于对照组(P<0.05);观察组总依从性高于对照组(P<0.05)。结论:对脊柱结核患者采用基于循证护理的多模式镇痛管理可有效降低患者的疼痛程度,改善睡眠质量和负性情绪,提高生活质量和总依从性。Objective:To explore the effect of multimodal analgesia management based on evidence-based nursing in patients with spinal tuberculosis.Method:A total of 80 patients with spinal tuberculosis treated in Donghai Hospital,the Second Affiliated Hospital of Fujian Medical University from April 2019 to April 2021 were divided into control group and observation group by random table method,with 40 cases in each group.The control group was treated with routine nursing mode,and the observation group was treated with multimodal analgesia management based on evidence-based nursing.The patients in both groups were continuously intervened for 2 weeks.The pain degree,sleep quality,quality of life,negative emotion and compliance of the two groups before and after intervention were analyzed.Result:After 1 d and 3 d intervention,the pain scores were lower than before intervention.After 3 days of intervention,the pain scores were lower than those after 1 day of intervention,and the observation group were lower than the control group(P<0.05).After 2 weeks of intervention,the sleep quality scores,anxiety and depression scores of the two groups were lower than before intervention,the observation group were lower than those of the control group(P<0.05);and the quality of life scores of the two groups were higher than before intervention,and the observation group were higher than those of the control group(P<0.05).The total compliance of the observation group was higher than that of the control group(P<0.05).Conclusion:The multi-mode analgesic management based on evidence-based nursing in patients with spinal tuberculosis can effectively reduce the degree of pain,improve sleep quality and negative emotion,and improve the quality of life and total compliance.

关 键 词：脊柱结核 循证护理 多模式镇痛管理 疼痛程度 生活质量 

分 类 号：R473.5[医药卫生—护理学]