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分段式疼痛护理结合饮食指导对改善肝内胆管结石术后患者疼痛程度及功能恢复的效果观察 被引量:15

Effect observation of sectional type pain care combined with diet instruction on the pain degree and function recovery of hepatolith postoperative patients
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摘要 目的:探讨分段式疼痛护理结合饮食指导对改善肝内胆管结石术后患者疼痛程度及功能恢复的效果观察。方法:选取2016年2月~2017年5月我院接收的肝内胆管结石手术患者106例,并随机将其等分为观察组和对照组。对照组行常规护理,观察组在对照组的基础上实施分段式疼痛护理结合饮食指导。对比两组患者术后疼痛程度、胃肠功能恢复情况、并发症发生情况及护理满意度。结果:观察组术后1,3及7 d视觉模拟评分均低于对照组(P<0.05)。观察组首次排气时间、首次排便时间、胃肠蠕动恢复时间、肠鸣音恢复时间均短于对照组(P<0.05)。观察组并发症发生率低于对照组(P<0.05)。观察组护理满意度高于对照组(P<0.05)。结论:肝内胆管结石手术患者联合应用分段式疼痛护理与饮食指导,可降低患者疼痛程度,有效促进其胃肠功能恢复,同时能减少患者并发症的发生,提高其护理满意度。 Objective: To explore the effect observation of sectional type pain care combined with diet instruction on the pain degree and function recovery of hepatolith postoperative patients. Methods: To select 106 cases of patients with hepatolith operations cured in our hospital from February 2016 to May2017,and randomly divide them into observation group and control group. Observation group was given routine nursing,while control group was also given sectional type pain care combined with diet instruction except routine nursing. Compare pain degree after operation,gastrointestinal function recovery condition,occurrence of complications and nursing satisfaction between the two groups. Results: Visual analogue scale for observation group after operation on the first,third and seventh day were all lower than those in control group( P 〈0. 05). The first evacuation time,first defecation time,gastrointestinal motility recovery time and borborygmus recovery time in observation group were all shorter than those in control group( P〈 0. 05). Occurrence rate of complications in observation group was lower than that in control group( P 〈0. 05). Nursing satisfaction in observation group was higher than that in control group( P〈 0. 05). Conclusion: Application of sectional type pain care combined with diet instruction on hepatolith patients could reduce patients' pain degree,effectively promote gastrointestinal function recovery,decrease the occurrence rate of complication,and improve their nursing satisfaction.
作者 蔡蓓 杜晓亮
出处 《护理实践与研究》 2018年第3期61-63,共3页 Nursing Practice and Research
关键词 分段式疼痛护理 饮食指导 肝内胆管结石 功能恢复 护理满意度 Sectional type pain care Diet instruction Hepatolith Function recovery Nursing satisfaction
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