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1、綜合護(hù)理干預(yù)影響小兒骨科患者術(shù)后疼痛臨床觀察佛山市中醫(yī)院小兒骨科黃秀燕【摘要】目的：分析綜合護(hù)理干預(yù)對(duì)小兒骨科患者術(shù)后疼痛的影響；取方法：本院小兒骨科于2010年9月至2012年9月間住院收治的行手術(shù)治療的患兒86例作為研究對(duì)象，根據(jù)術(shù)后護(hù)理方法的不同隨機(jī)分為使用常規(guī)護(hù)理的對(duì)照組及使用綜合護(hù)理干預(yù)的觀察組患兒各43例。比較兩組患兒的術(shù)后疼痛評(píng)分、負(fù)面情緒評(píng)分、護(hù)理滿意度等差杲；結(jié)果：觀察組患兒接受綜合護(hù)理干預(yù)措施后其疼痛評(píng)分明顯低于對(duì)照組患者(P<0.05)；觀察組患兒的負(fù)面情緒評(píng)分明顯低于對(duì)照組患者(P〈0
2、?05)；觀察組患兒對(duì)于護(hù)理的滿意度情況明顯高于對(duì)照組患者(P<0.05)；結(jié)論：綜合護(hù)理干預(yù)可以有效緩解小兒骨科術(shù)后疼痛，減輕負(fù)面情緒，提高護(hù)理滿意度。【關(guān)鍵詞】護(hù)理干預(yù)；小兒骨科；術(shù)后疼痛Effectofcomprehensivenursingonpost-operativechildren，spainoforthopedicsdepartmentAbstract:Objective:Tostudytheeffectofnursinginterventiononpainofpatientsafterped
3、iatricdepartmentoforthopedics?Methods:operationtreatmenttotakethishospitalpediatricdepartmentoforthopedicsin2010Septemberto2012Septemberweretreatedinhospitalwith86casesastheresearchobject,accordingtothedifferentmethodsofpostoperativecarewererandomlydividedi
4、ntocontrolgroupusedroutinenursingcareandobservationgroupusecomprehensivenursinginterventionin43cases?Differencesinpainscores,negativeemotions,nursingsatisfactionscoreswerecomparedbetweenthetwogroupsafteroperation.Results:thepainscoresofchildrenofobservation
5、groupreceivedcomprehensivenursinginterventionswerelowerthanthatofcontrolgroup(P<0.05);patientsinobservationgroupweresignificantlylowerthanthenegativeemotionofpatientsinthecontrolgroup(P<0.05);observationgroupsatisfactionofnursingforthepatientswassignificant
6、lyhigherthanthatincontrolgroup(P<0.05).Conclusion:comprehensivenursinginterventioncaneffectivelyalleviatethepediatricdepartmentoforthopedics,postoperativepain,reducingthenegativemood,improvenursingsatisfaction.Keywords：Nursingntervention;Children;Postoperat
7、ivepan小兒骨科術(shù)后疼痛的管理成功與否是影響小兒術(shù)后康復(fù)的重要因素Z—，兒童由于其心理、生理等發(fā)展均未健全，術(shù)后的疼痛可造成其情緒障礙，行為過激,不配合治療等，將顯著阻礙患兒的康復(fù)⑴。隨著護(hù)理學(xué)的發(fā)展，術(shù)后疼痛護(hù)理已經(jīng)得到長(zhǎng)足的發(fā)展，對(duì)于小兒術(shù)后疼痛的針對(duì)性護(hù)理干預(yù)也成為H前的熱點(diǎn)。本文主要分析綜合護(hù)理干預(yù)對(duì)小兒骨科患者術(shù)后疼痛的影響，具體報(bào)告如下。1?資料與方法1.1一般資料取本院小兒骨科于2010年9月至2012年9月間住院收治的行手術(shù)治療的患兒86例作為研究對(duì)象，根據(jù)術(shù)后護(hù)理方法的不同隨機(jī)分為使用常
8、規(guī)護(hù)理的對(duì)照組及使用綜合護(hù)理干預(yù)的觀察組患兒各43例。觀察組患兒屮男性26例，女性17例，年齡2-12歲,平均(6.32±1.54歲)；對(duì)照組患兒中男性24例,女性19例，年齡2-11歲，平均(6.56±1.32歲)。兩組患者性別、年齡、病情等均無統(tǒng)計(jì)學(xué)差異(P>0.05),具有可比性。1.2護(hù)理方法1.2.1對(duì)照組對(duì)照組患兒采取骨科術(shù)后常規(guī)護(hù)理，給予基礎(chǔ)心理支持，關(guān)注患兒各項(xiàng)生命體征變化，及時(shí)采取
