摘要
目的探讨建立无痛病房在经内镜逆行性胰胆管造影术(ERCP)胆总管取石术中的应用价值。方法选取行ERCP胆总管取石术患者90例,采用随机数字表法将其分为观察组与对照组,每组45例,对照组患者围手术期接受临床常规护理,观察组行无痛病房管理无痛护理模式,比较两组患者术后疼痛缓解效果及并发症发生率。结果观察组患者完全缓解44例,中度缓解1例,轻度缓解0例,缓解有效率为97.78%,对照组完全缓解21例,中度缓解16例,轻度缓解8例,缓解有效率46.67%,观察组缓解有效率明显高于对照组(P<0.05);观察组患者生活质量、护理满意度评分明显高于对照组;观察组住院时间、并发症发生率明显短(低)于对照组(P<0.05)。结论建立系统的疼痛护理管理模式可通过评估患者术后疼痛程度制定针对性干预方案,有效降低患者术后疼痛程度及并发症发生率,具有临床应用及推广价值。
Objective to study the application value of bravery manager stone extraction by the ERCP for painless ward.Methods 90 cases with bravery manager stone extraction by the ERCP were randomly divided into observation group and control group,45 cases in each group.The control group was taken by the clinical routine nursing care in per operation,but the observation group was for painless nursing pattern in painless ward.The pain relief effect after operation and complication rates were compared.Results For the observation group,there were 44 cases for complete remission,1 case for moderate ease,0 case for mild ease and the effective rate was 97.78%,but for the control group, there were 21 cases for complete remission,16 case for moderate ease,8 cases for mild ease and the effective rate was 46.67%.The ease effect of the observation group was obviously higher than that of the control group ( P〈0.05) .The life quali-ty,nursing satisfaction scores, hospital stay time and complication rates of the observation group were significantly shorter ( lower) than those of the control group ( P〈0.05) .Conclusions to establish systematic pain nursing mode can help make targeted intervention plan by assess-ing pain degree of patients after operation,which can effectively reduce the patient′s postoper-ative pain degree and complications.It has great value of clinical application and popularizing.
出处
《湖北民族学院学报(医学版)》
2015年第4期47-49,共3页
Journal of Hubei Minzu University(Medical Edition)