多学科疼痛管理护理路径在剖宫产术后子宫瘢痕妊娠行子宫动脉栓塞术患者中的应用  

Effects of multidisciplinary pain management in patients with cesarean scar pregnancy undergoing uterine artery embolization

作　　者：陈晓玲[1] 张锦云[1] 范翠平 陆卫[2] 张娅林[2] Chen Xiaoling;Zhang Jinyun;Fan Cuiping;Lu Wei;Zhang Yalin(Intervention Department,Nantong Maternity and Child Health Care Hospital,Nantong University,Nantong 226018,China;Department of Gynecology,Nantong Maternity and Child Health Care Hospital,Nantong University,Nantong 226018,China)

机构地区：[1]南通大学附属南通妇幼保健院介入科,南通226018 [2]南通大学附属南通妇幼保健院妇科,南通226018

出　　处：《中华现代护理杂志》2022年第19期2613-2617,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨多学科疼痛管理护理路径在剖宫产术后子宫瘢痕妊娠(CSP)行子宫动脉栓塞术(UAE)患者中的应用效果。方法采用便利抽样法, 选取南通大学附属南通妇幼保健院2019年1月—2021年3月行UAE的140例CSP患者, 按照随机数字表法将其分为观察组和对照组, 各70例。对照组给予常规护理干预, 观察组联合应用多学科疼痛管理护理路径干预。比较两组的应激反应相关指标、并发症发生率、疼痛控制满意度。结果观察组患者的心率、收缩压、视觉模拟疼痛评分、焦虑评分低于对照组, 布氏舒适评分高于对照组, 差异均有统计学意义(P<0.05)。观察组患者的并发症总发生率为8.57%(6/70), 低于对照组21.43%(15/70), 差异有统计学意义(P<0.05)。观察组的疼痛控制总满意度为91.43%(64/70), 高于对照组75.71%(53/70), 差异有统计学意义(P<0.05)。结论多学科疼痛管理护理路径有利于缓解患者的应激反应程度, 减少并发症的发生, 提高疼痛控制满意度。Objective To explore the effects of multidisciplinary pain management in patients with cesarean scar pregnancy(CSP)undergoing uterine artery embolization(UAE).Methods Totally 140 CSP patients who underwent UAE in Nantong Maternity and Child Health Care Hospital,Nantong University from January 2019 to March 2021 were selected by convenient sampling and divided into the observation group and control group according to the random number table,with 70 patients in each group.Patients in the control group received routine care,while patients in the observation group underwent multidisciplinary pain management.The stress response-related indicators,complication rates,and pain control satisfaction were compared between the two groups.Results The heart rate,systolic blood pressure,visual analog pain score,and anxiety score of the observation group were lower than those of the control group,and the Brinell comfort score was higher than that of the control group,with statistically significant differences(P<0.05).The total incidence of complications in the observation group was 8.57%(6/70),which was lower than 21.43%(15/70)in the control group,and the difference was statistically significant(P<0.05).The total satisfaction with pain control in the observation group was 91.43%(64/70),which was higher than 75.71%(53/70)in the control group,and the difference was statistically significant(P<0.05).Conclusions The multidisciplinary pain management is beneficial to relieve the degree of stress response of patients,reduce the occurrence of complications,and improve the satisfaction with pain control.

关 键 词：妊娠 瘢痕妊娠 剖宫产术 子宫动脉栓塞术 疼痛 应激反应 

分 类 号：R473.71[医药卫生—护理学]