摘要
目的观察不同角度半卧位对PACU开腹手术患者术后舒适度和疼痛的影响。方法选择本院2015年1~4月间120例开腹手术患者,随机分为Ⅰ~Ⅳ组,每组30例。Ⅰ~Ⅳ组患者分别采用15°、30°、45°、60°半卧位。应用kolcaba舒适状况量表（general comfort questionaire,GCQ）评估不同角度半卧位患者的舒适度,应用视觉模拟评分（visual analogue scale,VAS）法评估不同角度半卧位后患者腹部切口疼痛程度。结果采用30°和45°半卧位后Ⅱ组和Ⅲ组4次测量的GCQ值较基础值升高且高于Ⅰ组和Ⅳ组（P〈0.05）。Ⅱ组和Ⅲ组各对应时点GCQ值比较,差异无统计学意义（P〉0.05）。采用15°和60°半卧位后Ⅰ、Ⅳ组VAS值较基础值无明显变化,Ⅱ组和Ⅲ组4次测量的VAS值较基础值下降（P〈0.05）,且低于对应时点Ⅰ、Ⅳ组的VAS值。结论进入PACU的开腹手术患者采用30°和45°半卧位相对比较舒适,腹部切口疼痛程度较轻。
Objective To evaluate the effects of different degrees of semireclining position on comfortability and pain degree of patients after laparotomy in PACU. Methods 120 patients scheduled for laparotomy in our hospital from January to April 2015 were chosed. The patients were random Ly assigned to 4 groups,30 cases in each group. The 15°,30°,45°,60° semireclining position was applied respectively in Ⅰ-Ⅳ group. The comfortability was evaluated with the general comfort questionaire（GCQ） after laparotomy in PACU and the pain degree was assessed with the visual analogue scale（VAS）. Results The GCQ measured 4 timed independently in groupⅡand group Ⅲ was higher than base value and the scores of groupⅠand group Ⅳ（P〈0.05）. The GCQ value had no statistically significant difference in groupⅡ and group Ⅲ at each corresponding point. The VAS had no obvious difference in group Ⅰand group Ⅳ after changing to 15°,60° semireclining position compared with base value,but reduced in group Ⅱand group Ⅲ（P〈0.05）and lower in group Ⅱ and group Ⅲ than that in group Ⅰ and group Ⅳ at each corresponding point. Conclusion The patients in PACU will feel more comfortable and less pain with 30° or 45° semireclining position after laparotomy.
出处
《中国现代医生》
2016年第6期118-121,共4页
China Modern Doctor
基金
国家自然科学基金(81470874)
浙江省自然科学基金(LY16H030014)
关键词
体位
舒适度
疼痛
护理
Position
Comfortability
Pain
Nursing
