基于循证的疼痛管理对慢性创面患者创面愈合情况的影响  

The impact of evidence-based pain management on wound healing in patients with chronic wounds

作　　者：张霞[1] 夏沁涔 曹玲[1] 吴杨炀 姚望望 季瑶瑶[1] ZHANG Xia;XIA Qincen;CAO Ling;WU Yangyang;YAO Wangwang;JI Yaoyao(Affiliated Hospital of Nantong University,Nantong,Jiangsu,226001,China)

机构地区：[1]南通大学附属医院,江苏南通226001

出　　处：《中西医结合护理(中英文)》2025年第1期97-100,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探究在慢性创面患者护理期间应用基于循证的疼痛管理对创面愈合、疼痛改善所产生的影响。方法2021年1月至2023年3月,筛选在南通大学附属医院住院治疗的慢性创面患者,样本例数共计180例,经随机数字表法分组处理,患者被划分为对照组和观察组,各90例。研究者予以对照组患者常规护理,予以观察组患者常规护理+基于循证的疼痛管理。比较2组的干预效果,包括创面愈合情况(创面愈合时间、换药次数、创面面积和创面深度)、疼痛程度[数字疼痛评估量表(NRS)]及睡眠质量[中文版理查兹-坎贝尔睡眠量表(RCSQ)]。结果与对照组相比,观察组的创面愈合时间更早、换药次数更少(P均<0.05)。干预2周和4周后,2组患者的创面面积及创面深度对应参数均较干预前减小(P均<0.05),且观察组均小于同期对照组(P<0.05)。干预1周、2周和4周后,2组的NRS评分均较干预前降低(P均<0.05),且观察组均较同期对照组偏低(P均<0.05)。与干预前的RCSQ各维度评分相比,2组在干预4周后的评分均提高(P均<0.05);观察组在干预4周后的RCSQ各维度评分均较同期对照组偏高(P均<0.05)。结论基于循证的疼痛管理能改善慢性创面患者的创面愈合情况,减轻其疼痛感,提高其睡眠质量。Objective To explore the impact of evidence-based pain management on wound healing and pain improvement during the nursing of patients with chronic wounds.Methods From January 2021 to March 2023,a total of 180 chronic wound patients admitted to Affiliated Hospital of Nantong University for treatment were selected.The patients were randomly divided into a control group and an observation group,with 90 patients in each group.The researchers provided routine care to patients in the control group,and provided routine care and evidence-based pain management to patients in the observation group.The intervention effects of the two groups were compared,including wound healing status(wound healing time,dressing change frequency,wound area,and wound depth),pain level[Numerical Rating Scale(NRS)],and sleep quality[Chinese version of Richards-Campbell Sleep Questionnaire(RCSQ)].Results Compared with the control group,the observation group had earlier wound healing time and fewer dressing changes(both P<0.05).After 2 and 4 weeks of intervention,the wound area and depth parameters in both groups of patients decreased compared to before intervention(all P<0.05),and were smaller in the observation group than in the control group at the same time(all P<0.05).After 1 week,2 weeks,and 4 weeks of intervention,the NRS scores of both groups decreased compared to before intervention(all P<0.05),and were lower in the observation group than in the control group at the same time(all P<0.05).Compared with the scores of each dimension of RCSQ before intervention,both groups showed an improvement in scores after 4 weeks of intervention(all P<0.05).The RCSQ scores of the observation group in all dimensions were higher than those of the control group at the same time after 4 weeks of intervention(all P<0.05).Conclusion Evidence-based pain management can improve wound healing in patients with chronic wounds, alleviate their pain, and enhance their sleep quality.

关 键 词：慢性创面 基于循证的疼痛管理 创面愈合 疼痛 睡眠质量 

分 类 号：R473.6[医药卫生—护理学]