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1、護(hù)理干預(yù)對(duì)胸外科患者術(shù)后疼痛的影響邵靜(柘城縣結(jié)核病防治所河南柘城476600)【摘要】目的:探究實(shí)施護(hù)理干預(yù)對(duì)胸外科患者術(shù)后疼痛的影響。方法:選取2013年4月到2014年4月在我院行胸外科手術(shù)治療的60例患者作為研究對(duì)象,對(duì)照組進(jìn)行常規(guī)護(hù)理,實(shí)驗(yàn)組在常規(guī)護(hù)理基礎(chǔ)上對(duì)疼痛原因進(jìn)行分析予以相應(yīng)的護(hù)理干預(yù),對(duì)比兩組護(hù)理效果。結(jié)果:實(shí)驗(yàn)組VAS疼痛評(píng)分明顯小于對(duì)照組、住院時(shí)間短于對(duì)照組,兩組對(duì)比差異顯著(P<0.05);實(shí)驗(yàn)組護(hù)理滿意度為96.7%,明顯高于對(duì)照組的80.0%,兩組對(duì)比差異顯著(P<0.05)。結(jié)論:實(shí)施護(hù)理干預(yù)可有效減輕胸外科患者術(shù)后的疼痛程度,縮短住院時(shí)間,有利于提高患者的滿
2、意度,改善醫(yī)患關(guān)系,具有較高的臨床價(jià)值?!娟P(guān)鍵詞】護(hù)理干預(yù);胸外科;術(shù)后疼痛【中圖分類號(hào)】R473.6【文獻(xiàn)標(biāo)識(shí)碼】A【文章編號(hào)】1007-8231(2015)23-0030-02TheinfluenceofnursinginterventiononpostoperativepainpatientswiththoracicsurgeryShaoJing.ZhechengTuberculosisPreventionHenanZhechengJingxinDiamond476600,China【Abstract】ObjectiveToexploretheimplementationofthein
3、fluenceofnursinginterventiononpostoperativepainpatientswiththoracicsurgery.Selectionmethods:fromApril2013toApril2014inourhospitalsurgicaltreatmentof60casesofthoracicsurgeryastheresearchobject,thecontrolgrouproutinenursing,theexperimentalgrouponthebasisofconventionalnursingtopainreasoncarriesonthean
4、alysistothecorrespondingnursingintervention,comparedtwogroupsofnursingeffect.ResultsTheVASpainscoresignificantlylessthanthecontrolgroup,thelengthoftimeisshorterthanthecontrolgroup,twogroupscomparedtosignificantdifference(P<0.05);Experimentalgroupnursingsatisfactionwas96.7%,significantlyhighertha
5、nthecontrolgroup80.0%,significantdifferencecomparingthetwogroups(P<0.05).ConclusionThepatientsundergoingthoracicsurgerynursinginterventioncaneffectivelyreducepostoperativepain,shorterhospitalstay,improvepatient'ssatisfaction,toimprovethedoctor-patientrelationship,hashighclinicalvalue.【Keywords】N
6、ursingintervention;Thoracicsurgery;Postoperativepain胸外科手術(shù)由于創(chuàng)傷大、術(shù)后康復(fù)緩慢,患者常出現(xiàn)不同程度的疼痛,嚴(yán)重影響臨床手術(shù)的治療效果,直接影響患者的生活質(zhì)量[1】。術(shù)后有效緩解患者的疼痛程度,是促進(jìn)患者康復(fù)、保證手術(shù)療效、提高患者生活質(zhì)量的關(guān)鍵[2】。本研究對(duì)胸外科患者術(shù)后的疼痛狀況予以正確評(píng)估,采取相應(yīng)的護(hù)理措施進(jìn)行干預(yù),效果較為滿意。現(xiàn)報(bào)告示下。1.資料與方法1.1一般資料選取2013年4月到2014年4月在我院行胸外科手術(shù)治療的60例患者作為研宄對(duì)象,其中男34例,女26例;年齡17?68歲,平均(35.6±8.
7、5)歲;食管癌有16例,肺癌18例,肥人皰7例,胸部創(chuàng)傷19例;入選者均無(wú)精神及意識(shí)功能障礙,排除具奮嚴(yán)重肝腎功能不全的患者。按隨機(jī)數(shù)字表法將蘇分為實(shí)驗(yàn)組與對(duì)照組,各30例。兩組在一般資料方面相對(duì)比,無(wú)明顯差異(P〉0.05)。1.2方法對(duì)照組進(jìn)行常規(guī)護(hù)理,實(shí)驗(yàn)組在常規(guī)護(hù)理基礎(chǔ)上對(duì)疼痛原因進(jìn)行分析予以相應(yīng)的護(hù)理干預(yù)。具體措施:術(shù)前由護(hù)理人員對(duì)各項(xiàng)檢查的B的、配合要點(diǎn)、注意事項(xiàng)向患者詳細(xì)講解,對(duì)不適反應(yīng)及吋說(shuō)明