摘要
目的探讨并分析以护士为基础、以临床医生及麻醉医生为督导的疼痛管理模式在胃癌术患者后疼痛的临床管理中的应用效果。方法选取2015年7月～2016年6月符合纳入排除标准的375例胃癌患者为研究对象,将患者按随机数字表随机分为观察组和对照组,其中观察组189例,对照组186例。观察组术后采用NBASS-APS疼痛管理模式;对照组采用传统的急性疼痛服务模式,由病区疼痛护士和医生实施术后镇痛管理。比较两组患者术后镇痛临床效果、机体生理功能恢复及患者对术后疼痛管理效果的满意度。结果在实施NBASS-APS疼痛管理模式后,观察组患者在术后VAS最大值均值、术后VAS评分均值、最大VAS值的持续时间及VAS值大于3分的持续时间上均低于对照组,差异有统计学意义(P<0.05);观察组患者在首次下床活动时间、患者术后住院天数均低于对照组,差异有统计学意义(P<0.05);观察组患者术后48h内睡眠时长多于对照组,差异有统计学意义(P<0.05);观察组患者的术后镇痛效果满意度优于对照组,差异有统计学意义(P<0.05)。结论 NBASS-APS疼痛管理模式可降低胃癌患者术后的疼痛水平和并发症的发生率,有利于患者的生理功能的恢复,提高患者对术后镇痛效果的满意度。
Objective To investigate and analyze the nurse based,supervised by clinicians and anesthesiologisls pain management application in the elinical management of patients with gastric cancer after the pain. Methods From July 2015 to June 2016 in accordance with the inclusion of 375 patients with gastrie cancer were exeluded as the research object,the patients were randomly divided inlo observation group and control group according to the random number table,189 cases in the observation group, 186 cases in the control group.NBASS-APS pain management mode was used in the patients of the observation grnup;the traditional acute pain service mode was used in the control group,the pain management carried out by ward nurses anti doctors after operation.Clinical effect of analgesia after operation were compared between two groups.The body＇ s physiologieal function recovery and patient satisfaction with pain management effect after the operation were also compared. Results In the implementation of NBASS-APS pain management mode,the observation group of patienls with postoperative VAS maximum mean postoperative value,duration of VAS and the maximum VAS value were greater than the were lower than the control group＇ s value under duration of the 3 minutes,the differences were statistically significant（P 〈 O.05）;The first-time ambulation time of patients in the observation group,postoperative hospitalization time were lower than the control group,the differences were statistically significant（P 〈 0.05）;The patients in the observation group after 48h sleep longer than those in the eontrol group,the difference was statistically significant（P 〈 0.05）;The observation group of patients with postoperative analgesia satisfaction group than the control group,the difference was statistically significant（P 〈 0.05）. Conclusion NBASS-APS pain management mode can reduce the pain level and complications in postoperative patients with gastric cancer incidence,is conducive to the physiological function recovery of pat
出处
《中国医药科学》
2017年第21期12-15,共4页
China Medicine And Pharmacy
基金
安徽省教育厅高校自然科学研究项目(KJ2016A327)
关键词
疼痛
胃癌
急性疼痛服务模式
术后镇痛
Pain
Gastric cancer
Acute pain service model
Postoperative analgesia
