分析护理持续质量改进对术后镇痛泵护理效果及患者睡眠质量的影响  

To Analyze the Effect of Continuous Improvement of Nursing Quality on Nursing Effect of Postoperative Analgesic Pump and Sleep Quality of Patients

作　　者：余芳 YU Fang(Pucheng County Hospital of Traditional Chinese Medicine,Pucheng 353400,China)

机构地区：[1]福建省浦城县中医医院,浦城353400

出　　处：《世界睡眠医学杂志》2023年第8期1889-1892,共4页World Journal of Sleep Medicine

摘　　要：目的:护理持续质量改进对术后镇痛泵护理效果及患者睡眠质量的影响。方法:选取2021年1月至2022年12月福建省浦城县中医医院收治的术后应用镇痛泵患者86例作为研究对象,按照随机数字表法分为观察组(n=43)与对照组(n=43),对照组给予常规术后镇痛泵护理干预,观察组给予护理持续质量改进干预;采用视觉模拟评分法(VAS)比较2组患者干预前后的疼痛感受,采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化,并比较2组患者的不良反应发生率及护理满意度。结果:干预后,观察组术后6 h、12 h、24 h、48 h疼痛程度VAS评分显著低于对照组,观察组睡眠质量PSQI评分显著低于对照组,观察组不良反应发生率显著低于对照组,观察组护理满意度显著高于对照组,差异均有统计学意义(均P<0.05)。结论:术后镇痛泵使用期间实施护理持续质量改进干预效果显著,可有效改善患者的睡眠质量,减轻疼痛感受,降低不良反应发生率,提高护理满意度,值得临床推广使用。Objective:To investigate the effect of continuous quality improvement of nursing on postoperative analgesic pump nursing and sleep quality of patients.Methods:A total of 86 patients treated with postoperative analgesia pump in Pucheng County Hospital of Traditional Chinese Medicine of Fujian Province from January 2021 to December 2022 were selected as the study objects,and were divided into observation group(n=43)and control group(n=43)according to random number table method.The control group was given routine postoperative analgesia pump nursing intervention,and the observation group was given continuous quality improvement intervention.Visual Analogue Scale(VAS)was used to compare the pain perception of the two groups before and after the intervention,and Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes in sleep quality of the two groups before and after the intervention.The incidence of adverse reactions and nursing satisfaction were compared between the two groups.Results:After intervention,VAS score of pain degree at 6 h,12 h,24 h and 48 h in the observation group was significantly lower than that in the control group,PSQI score of sleep quality in the observation group was significantly lower than that in the control group,incidence of adverse reactions in the observation group was significantly lower than that in the control group,and nursing satisfaction in the observation group was significantly higher than that in the control group.There was statistical significance between the two groups(P s<0.05).Conclusion:The implementation of continuous nursing quality improvement intervention during the use of postoperative analgesic pump has significant effects,which can effectively improve the sleep quality of patients,reduce pain perception,reduce the incidence of adverse reactions,and improve nursing satisfaction,and is worthy of clinical promotion.

关 键 词：护理持续质量改进 镇痛泵 睡眠质量 疼痛 不良反应 

分 类 号：R441.1[医药卫生—诊断学] R338.63[医药卫生—临床医学]