摘要
目的:探讨综合疼痛护理干预措施在改善小儿腹股沟斜疝患儿疼痛状态中的作用。方法:选取2016年6-12月在本医院儿科住院的30例小儿腹股沟斜疝患儿为对照组,2017年1-6月30例小儿腹股沟斜疝患儿为研究组。对照组给予常规疼痛管理,研究组给予综合疼痛护理干预。统计两组患儿手术返回后(T0)、手术返回后2 h(T1)和手术返回后4 h(T2)心率(HR)、血压(DBP、SBP)以及疼痛评分变化情况,观察两组患儿家属术前1 d、手术当天和出院时S-AI状态焦虑量表评分,比较两组患儿家属护理满意度。结果:研究组患儿T0、T1、T2时刻DBP、SBP均低于对照组,T1、T2时刻HR均低于对照组,比较差异均有统计学意义(P<0.05);研究组患儿T1、T2时疼痛评分均低于对照组(P<0.05);研究组患儿家属术前1 d、手术当天和出院时S-AI状态焦虑量表评分均低于对照组(P<0.05);研究组患儿家属护理总满意度为93.33%,高于对照组的63.33%(P<0.05)。结论:综合疼痛护理干预措施可显著改善小儿腹股沟斜疝患儿疼痛状态,降低生命体征波动,使患儿家属的焦虑状态得到缓解,提升患儿家属对护理的满意度。
Objective:To explore the effect of comprehensive pain nursing intervention on improving the pain state of children with indirect inguinal hernia.Method:A total of 30 children with indirect inguinal hernia hospitalized in our hospital from June to December 2016 were selected as control group and 30 children with indirect inguinal hernia from January to June 2017 as study group.The control group was given routine pain management,while study group was given comprehensive pain nursing intervention.The changes of heart rate(HR),blood pressure(DBP,SBP)and pain score after operation return(T0),2 hours(T1)and 4 hours(T2)were counted,the S-AI state anxiety scale scores of the family members of two groups were observed before operation 1 day,on the day of operation and at discharge,and the nursing satisfaction of the family members of two groups was compared.Result:The DBP and SBP at T0,T1 and T2 in study group were lower than those of control group,HR at T1 and T2 were lower than those of control group,the differences were statistically significant(P<0.05).The pain scores at T1 and T2 in study group were lower than those of control group(P<0.05).The scores of S-AI state anxiety scale of the family members of study group were lower than those of control group before operation 1 day,the day of operation and at discharge(P<0.05).The nursing satisfaction of the family members in study group was 93.33%,which was higher than 63.33%in control group(P<0.05).Conclusion:Comprehensive pain nursing intervention measures can significantly improve the pain state of children with indirect inguinal hernia,reduce the fluctuation of vital signs,alleviate the anxiety state of children’family members,and enhance their satisfaction with nursing.
作者
何清莉
廖丽芳
尹金萍
HE Qingli;LIAO Lifang;YIN Jinping(Longgang District Third People’s Hospital,Shenzhen 518115,China)
出处
《中国医学创新》
CAS
2019年第5期91-94,共4页
Medical Innovation of China
基金
深圳市龙岗区2016年度医疗卫生科技计划项目(201620562)
关键词
小儿腹股沟斜疝
综合疼痛护理干预
疼痛
焦虑
Indirect inguinal hernia in children
Comprehensive pain nursing intervention
Pain
Anxiety
