快速康复护理模式下疼痛管理在心脏外科术后患者中的应用效果  

Application Effect of Pain Management under Rapid Rehabilitation Nursing Mode in Patients after Cardiac Surgery

作　　者：易娅莉 郑翠玉 吕林华[1] YI Yali;ZHENG Cuiyu;LYU Linhua(The First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510000,China)

机构地区：[1]中山大学附属第一医院,广东广州510000

出　　处：《中外医学研究》2023年第30期88-91,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨快速康复护理模式下疼痛管理在心脏外科术后患者中的应用效果。方法:选取2022年3月—2023年3月中山大学附属第一医院心脏外科收治的100例心外科手术患者,按随机数表法分为对照组和观察组,各50例。对照组实施快速康复护理模式的围手术期护理,观察组实施快速康复护理模式下疼痛管理的围手术期护理。比较两组疼痛程度、护理满意度、术后恢复时间。结果:观察组拔除气管插管后24 h、48 h、72 h疼痛程度均优于对照组,差异有统计学意义(P<0.05)。观察组护理总满意度高于对照组,差异有统计学意义(P<0.05)。观察组术后首次康复锻炼开始时间早于对照组,住院时间短于对照组,术后拔除气管插管后24 h睡眠时间长于对照组,差异有统计学意义(P<0.05)。结论:对心脏外科术后患者实施快速康复护理模式下疼痛管理,可提高患者的疼痛阈值,减轻患者术后伤口疼痛程度,促进术后恢复,提高护理满意度。Objective:To explore the application effect of pain management under rapid rehabilitation nursing mode in patients after cardiac surgery.Method:A total of 100 cardiac surgery patients admitted to the Department of Cardiac Surgery of the First Affiliated Hospital of Sun Yat-sen University from March 2022 to March 2023 were selected,they were divided into control group and observation group according to random number table method,with 50 cases in each group.The control group received perioperative nursing of rapid rehabilitation nursing mode,and the observation group received perioperative nursing of pain management under rapid rehabilitation nursing mode.The pain degree,nursing satisfaction and postoperative recovery time were compared between the two groups.Result:The pain degree of the observation group at 24 h,48 h and 72 h after tracheal intubation removal were better than those of the control group,the differences were statistically significant(P<0.05).The total nursing satisfaction of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The start time of the first postoperative rehabilitation exercise of the observation group was earlier than that of the control group,the hospital stay was shorter than that of the control group,and the sleep time at 24 h after tracheal intubation removal postoperative was longer than that of the control group,the differences were statistically significant(P<0.05).Conclusion:The implementation of pain management under rapid rehabilitation nursing mode for postoperative patients in cardiac surgery can improve the pain threshold of patients,reduce the degree of postoperative wound pain,promote postoperative recovery and improve nursing satisfaction.

关 键 词：疼痛管理 快速康复护理模式 护理满意度 

分 类 号：R473.6[医药卫生—护理学]