基于Roy适应理论的护理干预在混合痔患者术后药物镇痛过程中的应用效果  

Application Effect of Nursing Intervention Based on Roy's Adaptation Theory in Postoperative Drug Analgesia of Mixed Hemorrhoids Patients

作　　者：陈璐[1] 屈辉[1] 孙栋 CHEN Lu;QU Hui;SUN Dong(Jiaozuo People's Hospital,Jiaozuo 454100,Henan,China)

机构地区：[1]焦作市人民医院,河南焦作454100

出　　处：《中国药物滥用防治杂志》2025年第1期168-171,共4页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：焦作市科技计划项目(编号:2023430007)。

摘　　要：目的:探究基于Roy适应理论的护理干预在混合痔患者术后药物镇痛过程中的应用效果。方法:选取2023年3月—2024年3月医院收治的150例拟行外剥内扎创面开放式手术治疗的混合痔患者,遵照随机数字表法分为观察组(n=75)和对照组(n=75)。术后药物镇痛过程中,对照组行常规护理干预,观察组行基于Roy适应理论的护理干预,两组均从术后第1d持续干预至镇痛用药结束。比较两组首次服用镇痛药物时、疼痛情况[疼痛程度视觉模拟评分表(VAS)]、疼痛认知程度、负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、护理依从请况。结果:观察组术后首次主诉疼痛时间短于对照组,首次服用镇痛药物时VAS评分低于对照组(P<0.05),而两组术后12、24 h时VAS评分均较首次服用镇痛药物时降低,但组间比较,差异无统计学意义(P>0.05)。观察组术后疼痛认知情况整体认知率、总依从率高于对照组(P<0.05);两组干预后HAMA、HAMD评分低于对照组,且观察组低于对照组(P<0.05)。观察组干预期间的整体依从性情况较对照组好,总依从率高于对照组(P<0.05)。结论:在混合痔患者术后药物镇痛过程中,基于Roy适应理论的护理干预可健全患者疼痛认知,更好地缓解其术后负性情绪,患者护理依从性显著提高,整体疼痛缓解效果更理想。Objective:To explore the application effect of nursing intervention based on Roy's adaptation theory in the postoperative drug analgesia process of mixed hemorrhoid patients.Methods:A total of 150 patients with mixed hemorrhoids who were scheduled to undergo open surgical treatment with external dissection and internal ligation wounds and were admitted to the hospital from March 2023 to March 2024 were randomly divided into an observation group(n=75)and a control group(n=75)according to the random number table method.During the postoperative drug analgesia process,the control group received routine nursing intervention,while the observation group received nursing intervention based on Roy's adaptation theory.Both groups continued the intervention from the first day after surgery until the end of analgesic medication.The first time of taking analgesic drugs,pain[visual analogue scale(VAS)],pain cognition,negative emotions[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)]and nursing compliance were compared between the two groups.Results:The time of first complaint of pain in the observation group was shorter than that in the control group,and the VAS score was lower than that in the control group when taking analgesic drugs for the first time(P<0.05).The VAS score of the two groups at 12 and 24 h after operation were lower than those at the first time of taking analgesic drugs,but there was no significant difference between the two groups(P>0.05).The overall cognition rate and total compliance rate of postoperative pain cognition in the observation group were higher than those in the control group(P<0.05).After intervention,HAMA and HAMD scores of the two groups were lower than those of the control group,and those of the observation group were lower than the control group(P<0.05).The overall compliance of the observation group during the intervention period was better than that of the control group,and the total compliance rate was higher than that of the control group(P<0.05).Conclusion:In the process

关 键 词：混合痔 术后镇痛 ROY适应模式 依从性 

分 类 号：R473.6[医药卫生—护理学]