胰腺手术后护理中非药物性疼痛管理策略的有效性与患者康复关系的前瞻性研究  

Prospective Study on the Effectiveness of Non-pharmacological Pain Management Strategies in Post-Pancreatic Surgery Care and Their Relationship to Patient Recovery

作　　者：马丽培 黄仲妍 张敏[1] 陈乐英[1] Ma Lipei;Huang Zhongyan;Zhang Min(Pancreatic Surgery,Ruijin Hospital Affiliated with Shanghai Jiaotong University School of Medicine,Shanghai,200025,China)

机构地区：[1]上海交通大学医学院附属瑞金医院胰腺外科,上海200025

出　　处：《黑龙江医学》2025年第8期1013-1015,共3页Heilongjiang Medical Journal

摘　　要：目的:本研究旨在探讨在胰腺手术后的康复中,采用按摩疗法、康复锻炼和心理支持等非药物性疼痛管理策略的有效性,并比较3种策略在患者康复中的差异。方法:采用前瞻性研究设计、纵向队列研究,选取样本医院240例接受胰腺手术的患者作为研究对象,随机分为4组,每组60例。其中3组为实验组,除常规护理外,分别进行按摩疗法、康复锻炼以及心理支持和认知行为疗法的术后护理;1组为对照组,只接受常规护理。跟踪时间为1年,以探索非药物性疼痛管理策略在患者康复中的效果。收集患者基线资料、疼痛程度、康复速度和程度、并发症和不良事件的发生率。结果:4组患者基线资料比较,差异均无统计学意义(t=1.21、0.96、0.43、0.82、1.12,P>0.05)。不同时间4组患者NRS评分,按摩疗法组、康复锻炼组和心理支持组在术后疼痛管理中优于对照组,差异均有统计学意义(t=6.78、7.92、8.46、9.01、9.82,P<0.05)。不同时间4组患者SF-36生理功能维度评分,按摩疗法组、康复锻炼组和心理支持组在康复速度和程度上均优于对照组,差异均有统计学意义(t=5.67、6.91、7.84、8.62、9.31,P<0.05)。不同时间4组患者并发症和不良事件发生率,按摩疗法组、康复锻炼组和心理支持组均优于对照组,差异均有统计学意义(χ^(2)=6.72、8.91、10.54、12.36、14.19,P<0.05)。结论:采用按摩疗法、康复锻炼和心理支持等非药物性疼痛管理策略在胰腺手术后的康复中具有明显效果,能够有效缓解疼痛、提高生理功能水平,并降低并发症和不良事件的发生率。综合应用这些策略,可以为患者提供更全面、个性化的康复护理,促进其更好地恢复健康。未来的研究可进一步探讨策略在不同康复阶段的优劣,以进一步完善康复护理方案。Objective:To explore the effectiveness of non-pharmacological pain management strategies,including massage therapy,rehabilitation exercises,and psychological support,in the recovery of patients after pancreatic surgery,so as to compare the differences in patient recovery among these three strategies.Methods:Employing a prospective research design and longitudinal cohort study.The study included 240 patients who underwent pancreatic surgery,categorized into massage therapy,rehabilitation exercises,psychological support,and control groups.Data collection comprised baseline information,pain assessments,evaluations of recovery speed and extent,as well as the incidence of complications and adverse events.Results:There was no significant difference in baseline data among the 4 groups(t=1.21,0.96,0.43,0.82,1.12;P>0.05).The NRS score of the 4 groups at different time,the massage therapy group,rehabilitation exercise group and psychological support group were better than the control group in postoperative pain management,and the difference was statistically significant(t=6.78,7.92,8.46,9.01,9.82;P<0.05).The SF-36 physiological functional dimension score of the 4 groups at different time,the massage therapy group,rehabilitation exercise group and psychological support group were superior to the control group in terms of rehabilitation speed and degree,and the difference was statistically significant(t=5.67,6.91,7.84,8.62,9.31;P<0.05).The incidence of complications and adverse events in the four groups at different times was significantly higher in the massage therapy group,rehabilitation exercise group and psychological support group than in the control group,with statistically significant difference(χ^(2)=6.72,8.91,10.54,12.36,14.19;P<0.05).Conclusion:Non-pharmacological pain management strategies,including massage therapy,rehabilitation exercises,and psychological support demonstrate significant efficacy in the postoperative recovery of pancreatic surgery patients.These strategies effectively alleviate pain,enhance phys

关 键 词：疼痛管理 非药物性策略 胰腺手术 康复 前瞻性研究 

分 类 号：R657.5[医药卫生—外科学]