摘要
目的：探讨中医特色的辨证施护对骨科手术患者术后疼痛控制的疗效。方法选取2013年6月—2014年5月骨科收治的行手术治疗患者129例为研究对象,按照入院日期分为观察组（65例）和对照组（64例）。对照组给予常规疼痛护理干预,观察组在此基础上给予中医特色的辨证施护。比较两组患者的疼痛程度、不良反应、住院天数、住院费用、患者满意度及睡眠质量。结果观察组术后24 h疼痛评分、术后1～5 d内经历的最严重疼痛及术后1～5 d内睡眠质量评分分别为（2.19±1.47）,（4.03±2.14）,（14.79±2.83）分,均明显低于对照组的（4.63±1.50）,（6.42±2.65）,（25.01±2.52）分,差异均有统计学意义（t值分别为5.664,6.873,5.495；P〈0.05）。观察组不良反应发生率为9.23%,住院天数为（13.35±3.35） d,住院费用为（37516.32±2987.42）元,低于对照组的9.23%,（17.21±4.50） d,（43056.76±3412.78）元,两组比较差异有统计学意义（χ^2/t值分别为4.321,4.352,3.726；P〈0.05）。观察组患者满意度为98.46%,高于对照组的76.56%,两组比较差异有统计学意义（χ^2=4.569,P〈0．05）。结论采用中医特色的辨证施护能有效缓解骨科患者的术后疼痛,提高护理满意度,降低不良反应发生率,减轻了患者经济负担,值得临床广泛推广和应用。
Objective To investigate the applications of dialectical nursing of tradition Chinese medicine for orthopedic surgery patients with postoperative pain. Methods A total of 129 orthopedic surgery patients in our hospital were randomly divided into two groups from September 2012 to April 2014, and 65 cases of observation group were treated with a model of dialectical nursing of tradition Chinese medicine while 64 cases of control group were treated with routine care, comparison of nursing outcomes, pain, adverse reactions, length of stay, hospital costs, patient satisfaction and quality of sleep between two groups. Results The scores of degree of pain in 24 h, 1-5 d most severe pain and SRSS in the experimental group [（2. 19 ± 1. 47）, （4. 03 ± 2. 14）, （14. 79 ± 2. 83）] were significantly lower than those in the control group [（4. 63 ± 1. 50）, （6. 42 ± 2. 65）, （25. 01 ± 2. 52）], and theses differences were statistically significant between the two groups（t =5. 664,6. 873,5. 495;P〈0. 05）. The rate of adverse reactions, hospitalized days and costs were respectively 9. 23%,（13. 35 ± 3. 35） d, （37 516. 32 ± 2 987. 42） yuan in the experimental group, and were significantly lower than 25. 00%,（17. 21 ± 4. 50）d, （43 056. 76 ± 3 412. 78） yuan in the control group, and the differences were statistically significant （χ^2/t=4. 321,4. 352,3. 726;P〈0. 05）. The patients′satisfaction was 98. 46% in the experimental group, and was significantly higher than 76. 56% in the control group, and the difference was statistically significant （χ^2 =4. 569,P〈0. 05）. Conclusions The model of dialectical nursing of traditional Chinese medicine significantly improves the orthopedic surgery patient′s suffering and nursing satisfaction, and reduce adverse reactions and the financial burden on patients. It is worthy of wider promotion and application.
出处
《中华现代护理杂志》
2015年第14期1672-1674,共3页
Chinese Journal of Modern Nursing
关键词
疼痛
骨科手术
中医护理
Pain
Orthopedic surgery
Chinese medicine nursing
