规范化疼痛护理干预在小儿阑尾炎术后的应用  

Application of standardized pain nursing intervention in children with appendicitis after operation

作　　者：姜素芬 刘大燕 JIANG Sufen;LIU Dayan(Orthopedic Pediatric Surgery Ward,Weihai Maternal&Child Health Care Hospital,Shandong Province,Weihai 264200,China)

机构地区：[1]山东省威海市妇幼保健院骨外小儿外病区,山东威海264200

出　　处：《妇儿健康导刊》2025年第2期117-120,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的探讨规范化疼痛护理干预在小儿阑尾炎术后的应用效果。方法选取2021年1月至2023年12月威海市妇幼保健院骨外小儿外病区收治的72例行腹腔镜手术切除的阑尾炎患儿为研究对象,按照随机数字表法分为两组,对照组(36例)行常规护理干预,观察组(36例)行规范化疼痛护理干预,比较两组的疼痛评分、术后康复时间、生活质量与依从性。结果观察组术后12 h以及术后1、2 d的疼痛评分低于对照组(P<0.05);观察组术后首次排气、首次排便、首次下床时间以及住院时间短于对照组(P<0.05);观察组护理后各项生活质量评分与依从性评分高于对照组(P<0.05)。结论在小儿阑尾炎术后实施规范化疼痛护理干预,可减轻术后疼痛,加快术后康复,提高生活质量及依从性,值得临床推广。Objective To explore the application effect of standardized pain nursing intervention in children with appendicitis after operation.Methods From January 2021 to December 2023,a total of 72 children with appendicitis who underwent laparoscopic surgery in Orthopedic Pediatric Surgery Ward,Weihai Maternal&Child Health Care Hospital were selected as the study objects.They were divided into two groups based on the random number table method.The control group(36 cases)received routine nursing intervention,and the observation group(36 cases)received standardized pain nursing intervention.The pain score,postoperative recovery time,quality of life and compliance were compared between the two groups.Results The pain score of observation group was lower than that of control group at 12 hours and 1,2 days after operation(P<0.05).The first postoperative exhaust time,the first defecation time,the first time to get out of bed after operation and the length of hospital stay in the observation group were shorter than those in the control group(P<0.05).After nursing,the scores of quality of life and compliance in the observation group were higher than those in the control group(P<0.05).Conclusion The implementation of standardized pain nursing intervention in children with appendicitis after operation can reduce postoperative pain,speed up postoperative rehabilitation,improve quality of life and compliance,and is worthy of clinical promotion.

关 键 词：小儿阑尾炎 规范化疼痛护理干预 术后疼痛 生活质量 依从性 

分 类 号：R473.72[医药卫生—护理学]