个体化疼痛干预对减轻肾结石患者行经皮肾镜取石术后疼痛的效果观察  

Effect of Individual Pain Intervention on Relieving Pain in Patients with Kidney Stones after Percutaneous Nephroli⁃thotomy

作　　者：黄玉琪[1] 王晓辉[1] HUANG Yu-qi;WANG Xiao-hui(First Affiliated Hospital of Henan University of Science and Technology,Luoyang,Henan,471000,China)

机构地区：[1]河南科技大学第一附属医院,河南洛阳471000

出　　处：《黑龙江医学》2023年第1期109-111,共3页Heilongjiang Medical Journal

基　　金：2018年度河南省医学科技公关计划联合共建项目(2018020290)。

摘　　要：目的:探讨个体化疼痛干预对减轻肾结石患者行经皮肾镜取石术后疼痛的效果。方法:选取2018年9月—2020年5月河南科技大学第一附属医院收治的116例肾结石患者作为研究对象,均行经皮肾镜取石术治疗,根据随机数表法分为干预组和常规组,每组各58例。常规组给予常规护理干预,干预组给予个体化疼痛干预。比较两组患者术后疼痛[视觉模拟评分法(VAS)]评分和睡眠质量[匹兹堡睡眠质量指数(PSQI)]评分、生理应激水平、焦虑状况[焦虑自评量表(SAS)和抑郁自评量表(SDS)评分]、不良反应、护理满意度。结果:干预组术后VAS评分和PSQI评分均明显低于常规组,差异有统计学意义(t=17.940、24.518,P<0.05)。干预前,两组患者收缩压、舒张压、心率水平比较,差异无统计学意义(P>0.05);干预后,两组患者收缩压、舒张压、心率水平均明显下降,且干预组低于常规组,差异有统计学意义(P<0.05)。干预前,两组患者SAS评分和SDS评分比较,差异无统计学意义(P>0.05);干预后,两组患者SAS评分和SDS评分均明显下降,且干预组低于常规组,差异有统计学意义(P<0.05)。干预组不良反应发生率低于常规组,差异有统计学意义(χ^(2)=5.949,P<0.05)。干预组护理满意度明显高于常规组,差异有统计学意义(χ^(2)=8.721,P<0.05)。结论:个体化疼痛干预可明显减轻肾结石患者行经皮肾镜取石术后疼痛,缓解患者焦虑、抑郁情绪,降低生理应激水平,减少不良反应的发生,提高护理满意度。Objective:To investigate the effect of individualized pain intervention on reducing pain after percutaneous nephrolithotomy in patients with renal calculi.Methods:A total of 116 patients with renal calculi admitted to the hospital from September 2018 to May 2020 were selected as the research subjects,all of whom underwent percutaneous nephrolithotomy,and were divided into an intervention group and a routine group according to the random number table method,with 58 cases in each group.The routine group was given routine nursing intervention,and the intervention group was given individualized pain intervention.The postoperative pain(visual analogue scale[VAS])score and sleep quality(Pittsburgh Sleep Quality Index[PSQI])score,physiological stress level,the anxiety status(self-rating anxiety scale[SAS]and self-rating depression scale[SDS]scores),adverse reactions and nursing satisfaction were compared between the two groups.Results:The postoperative VAS score and PSQI score of the intervention group were significantly lower than those of the routine group,and the difference was statistically significant(t=17.940,24.518,P<0.05).Before the intervention,there was no significant difference in the levels of systolic blood pressure,diastolic blood pressure and heart rate between the two groups(P>0.05).After intervention,the levels of systolic blood pressure,diastolic blood pressure,and heart rate in the two groups were significantly decreased,and the intervention group was lower than the routine group,and the difference was statistically significant(P<0.05).Before intervention,there was no significant difference in SAS and SDS scores between the two groups(P>0.05).After the intervention,the SAS and SDS scores of the two groups were significantly decreased,and the intervention group was lower than the routine group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the intervention group was lower than that in the routine group,and the difference was statistically significant(χ^(

关 键 词：个体化疼痛干预 肾结石 经皮肾镜取石术 VAS评分 

分 类 号：R473.6[医药卫生—护理学]