基于前馈控制理论的护理干预在胸腔镜肺叶切除术患者静脉自控镇痛中的效果  

Effect of nursing intervention based on feedforward control theory on patient-controlled intravenous analgesia in patients undergoing thoracoscopic lobectomy

作　　者：赵阳 吴苏 支慧[1] 贾佳[1] 王洋洋 汪仕华 Zhao Yang;Wu Su;Zhi Hui;Jia Jia;Wang Yangyang;Wang Shihua(Henan Provincial People's Hospital,Zhengzhou 450003,Henan,China)

机构地区：[1]河南省人民医院,河南郑州450000

出　　处：《临床心身疾病杂志》2023年第6期155-159,共5页Journal of Clinical Psychosomatic Diseases

基　　金：河南省医学科技攻关计划联合共建项目(编号LHGJ20210026)。

摘　　要：目的分析基于前馈控制(FFC)理论的护理干预在胸腔镜肺叶切除术(TL)患者静脉自控镇痛(PCIA)中的应用效果。方法将100例TL患者以随机数字表法分为观察组和对照组,各50例。对照组患者给予PCIA及常规护理干预,观察组患者在对照组基础上给予基于FFC理论的护理干预,比较两组患者术后不同时间段视觉模拟评分量表(VAS)评分、Bruggermann舒适(BCS)评分、术后机体转归指标、术后24 h PCIA按压次数、患者满意度。结果术后24 h观察组患者VAS评分低于对照组,BCS评分高于对照组(P<0.01)。干预后,观察组患者拔除尿管时间、首次排气时间、首次下床时间均早于对照组,术后24 h PCIA按压次数少于对照组,满意度高于对照组(P<0.01)。结论基于FFC理论的护理干预可有效减轻TL患者术后疼痛感,缩短胃肠功能恢复时间,提高患者舒适度及满意度。Objective To analyze the application effect of nursing intervention based on feedforward control(FFC)theory in the using of patient-controlled intravenous analgesia(PCIA)in patients undergoing thoracoscopic lobectomy(TL).Methods A total of 100 patients undergoing the TL were divided into observation and control group according to random number table method,with 50 cases in each group.Control group received the PCIA and routine nursing interventions,observation group did the FFC-based nursing intervention on the basis of control group,and such indexes were compared between two groups at different time period after operation as the Visual Analogue Scale(VAS)and Bruggermann Comfort Scale(BCS)score,postoperative body outcome index(PBOI),PCIA's number of presses,and patients'satisfactions.Results The score on the VAS was lower and that on the BCS higher in observation than control group 24 h after surgery(P<0.01).Catheter extraction,first exhaust and first leaving bed time were earlier,PCIA's frequencyes of pressing lower,and patients'satisfactions higher in observation than control group(P<0.01).Conclusion FFC-based nursing intervention can effectively alleviate the postoperative pain of patients undergoing the TL,shorten the time of gastrointestinal function recovery,and improve patients'comfort and satisfaction.

关 键 词：前馈控制理论 胸腔镜肺叶切除术 静脉自控镇痛 舒适度 

分 类 号：R655[医药卫生—外科学] R248.2[医药卫生—临床医学]