耳鼻喉科患儿父母参与术后疼痛管理的最佳证据应用  

Application of best evidence for parental involvement in postoperative pain management of otolaryngology children

作　　者：杨巾夏 周云凤[1] 马玉梅[1] 史菊芬 陶专 张静 王蕊[1] 张芳[1] 姚文英[1] 徐红贞[2] YANG Jinxia;ZHOU Yunfeng;MA Yumei;SHI Jufen;TAO Zhuan;ZHANG Jing;WANG Rui;ZHANG Fang;YAO Wenying;XU Hongzhen

机构地区：[1]苏州大学附属儿童医院,江苏215025 [2]浙江大学医学院附属儿童医院

出　　处：《循证护理》2024年第2期246-250,共5页Chinese Evidence-Based Nursing

基　　金：苏州市2022年度第二十八批科技发展计划项目,编号:SKY2022168。

摘　　要：目的:通过应用耳鼻喉科患儿父母参与术后疼痛管理的最佳证据,评估其对患儿术后疼痛的影响。方法:选择2022年4月—7月住院的手术患儿为研究对象,将2022年4月—5月的219例患儿作为对照组;选取2022年6月—7月221例患儿作为干预组,在前期循证实践研究的基础上进行耳鼻喉科患儿术后疼痛管理的最佳证据应用,观察审查指标达标情况及应用前后患儿疼痛及睡眠情况。结果:经过最佳证据应用,审查指标中指标4、指标5、指标8均由0%提升至100%,差异有统计学意义(P<0.05),指标1、指标2、指标6、指标9、指标15分别由36.5%、64.4%、54.8%、54.8%、18.2%提升至87.3%、81.9%、85.5%、71.9%、63.6%,差异有统计学意义(P<0.05);证据应用后患儿术后2 h、4 h、24 h、出院时疼痛评分低于证据应用前;患儿术后回病房时、术日夜间疼痛评分、术日晚有效睡眠时间、住院时间差异无统计学意义(P>0.05)。结论:在耳鼻喉科临床实践中应用患儿父母参与术后疼痛管理的最佳证据,可以提高父母在患儿术后疼痛管理中的参与度,并缓解耳鼻喉科患儿术后疼痛程度。Objective:To evaluate the impact of the best evidence of parental involvement in postoperative pain management in children with otolaryngology on their postoperative pain scores.Method:Surgical children hospitalized from April to July 2022 were selected as the study subjects.219 children from April to May 2022 were selected as the control group,and 221 children from June to July 2022 were selected as the intervention group.On the basis of previous evidence-based practical research,the best evidence of postoperative pain management in otolaryngology children was applied to observe the compliance of review indicators and the pain and sleep status of children before and after application.Result:After applying the best evidence,index 4,index 5 and index 8 were all increased from 0%to 100%,and the difference was statistically significant(P<0.05).Indicators 1,2,6,9 and 15 were increased from 36.5%,64.4%,54.8%,54.8%and 18.2%to 87.3%,81.9%,85.5%,71.9%and 63.6%,respectively,and the difference was statistically significant(P<0.05).After the application of evidence,the pain scores of the children at 2 h,4 h,24 h after surgery and at discharge were lower than those before the application of evidence.There was no significant difference in pain score,effective sleep time and hospital stay when the children returned to the ward after surgery(P>0.05).Conclusion:Applying the best evidence of parents′involvement in postoperative pain management in otolaryngology clinical practice can improve parents′involvement in postoperative pain management and alleviate the degree of postoperative pain in otolaryngology children.

关 键 词：父母参与 术后疼痛 耳鼻喉科 患儿 疼痛管理 循证实践 

分 类 号：R473.76[医药卫生—护理学]