摘要
目的探讨应用冥想训练减轻学龄期（6～14岁）心脏病患儿手术后疼痛的效果。方法 将60例患儿随机分为试验组和对照组各30例。试验组入院后在常规护理的基础上,每日指导冥想训练1次,共3－5次,术后出现疼痛时由护士指导患儿进行冥想训练来镇痛;对照组患儿入院后进行常规护理,术后出现疼痛时则按医生的医嘱给予盐酸布桂嗪（强痛定）镇痛。观察两组治疗前后的疼痛视觉模拟评分（VAS）、心率和血压的变化,以及术后3d内不同时间的疼痛程度和出现疼痛的例数。结果两组治疗后2h的VAS、心率和血压均比治疗前下降,差异有统计学意义（P〈0.01）;试验组术后3d内各个时间点的VAS均低于对照组,差异有统计学意义（P〈0.01）;试验组术后各个时间段的疼痛例数均少于对照组,差异有统计学意义（P〈0.05）。结论冥想训练能够有效减轻心脏病患儿手术后的疼痛程度,增加其舒适度,有利于心脏功能的康复。
Objective To evaluate the effect of meditation training on postoperative pain in school-age children with cardiac diseases.Method Sixty children were randomly divided into two groups.The children in the control group received routine care and bucinnazine in case of pain.In addition,the children in the experimental group received daily meditation training for 3 to 5 times and nurse-led meditation training in case of pain.The score of visual analogue scale（VAS）,heart rate,blood pressure and rate of pain within three days after surgery were measured and compared between the two groups.Results The scores of VAS,heart rate and blood pressure were decreased two hours after training in both groups（P〈0.01）.The scores of VAS and rates of pain in the experimental group at each timepoint within three days after surgery were significantly lower than in the control group（P〈0.01 or P〈0.05）.Conclusions Meditation training can effectively relieve postoperative pain in school-age children with cardiac disease.It can promote patients＇ comfort and the recovery of cardiac function.
出处
《中华护理杂志》
CSCD
北大核心
2011年第8期745-747,共3页
Chinese Journal of Nursing
基金
江西省卫生厅科研基金资助课题(编号:3134)
关键词
心脏缺损
先天性
疼痛
手术后
儿童
健康教育
Heart Defects
Congenital
Pain
Postoperative
Child
Health Education
