阶梯式急性疼痛管理对烧伤患儿急性期疼痛及创伤后应激障碍的影响  

Effect of stepwise acute pain management on acute pain and post traumatic stress disorder in burned children

作　　者：吕晓菲[1] 张蒙蒙 于霞良 LYU Xiaofei;ZHANG Mengmeng;YU Xialiang(Department of Burn,the Second People’s Hospital of Liaocheng,Shandong Province,Liaocheng 252600,China)

机构地区：[1]山东省聊城市第二人民医院烧伤科,山东聊城252600

出　　处：《妇儿健康导刊》2023年第22期71-73,共3页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的探讨阶梯式急性疼痛管理对烧伤患儿急性期疼痛及创伤后应激障碍(PTSD)的影响。方法选取2021年3月至2022年8月山东省聊城市第二人民医院烧伤科收治的50例烧伤患儿作为研究对象,按照抽签法将其分为对照组和观察组,每组25例。对照组接受常规护理,观察组在对照组基础上接受阶梯式急性疼痛管理,比较两组的疼痛程度、PTSD评分和护理总满意率。结果干预1、24、48 h后,观察组小儿疼痛行为评估量表评分均低于对照组(P<0.05),观察组干预后PTSD评分低于对照组(P<0.05),观察组护理总满意率高于对照组(P<0.05)。结论阶梯式急性疼痛管理可缓解烧伤患儿的急性期疼痛,减轻PTSD,提高护理满意率,值得临床推广。Objective To explore the effect of stepwise acute pain management on acute pain and post traumatic stress disorder(PTSD)in burned children.Methods A total of 50 burned children in the Department of Burn,the Second People’s Hospital of Liaocheng from March 2021 to August 2022 were selected and divided into control group and observation group by the draw method.The control group received routine care,and the observation group received stepwise acute pain management on the basis of control group.The pain degree,PTSD score and total nursing satisfaction rate were compared between the two groups.Results After 1,24 and 48 h of intervention,the scores of pain behavior assessment scale of children in the observation group were lower than those in the control group(P<0.05).The PTSD score after intervention in the observation group was lower than that in the control group(P<0.05).The total satisfaction rate of nursing in the observation group was higher than that in the control group(P<0.05).Conclusion Stepwise acute pain management can relieve the acute pain of burn children,alleviate PTSD and improve nursing satisfaction rate,which is worthy of clinical promotion.

关 键 词：阶梯式急性疼痛管理 烧伤患儿 急性期疼痛 创伤后应激障碍 

分 类 号：R644[医药卫生—外科学]