摘要
目的:探究针对性疼痛护理对甲状腺手术后切口疼痛及止痛药物用量的影响。方法:选取笔者所在医院2018年1月-2019年3月收治的甲状腺手术后切口疼痛患者102例,采用双盲法分为甲组和乙组,各51例。甲组采用针对性疼痛护理干预,乙组采用常规护理干预。护理1个月开展随访,观察疼痛评分、舒适感评分、精神健康评分、生活质量评分、止痛药物用量及不良反应发生情况。结果:甲组疼痛及精神健康评分均低于乙组,舒适感及生活质量评分均高于乙组,差异均有统计学意义(P<0.05)。甲组止痛药物用量为(64.44±10.05)mg,少于乙组的(98.78±15.69)mg,差异有统计学意义(P<0.05)。甲组不良反应发生率为1.96%,低于乙组的15.69%,差异有统计学意义(P<0.05)。结论:针对性疼痛护理在甲状腺手术后切口疼痛患者中具有显著效果,可改善其身心状态及疼痛感,并减少止痛药物用量及不良反应,值得应用于临床推广。
Objective:To explore the effect of targeted pain nursing on incision pain and analgesic drug dosage after thyroid surgery.Method:A total of 102 patients with incision pain after thyroid surgery admitted to our hospital from January 2018 to March 2019 were selected,and were divided into group A and group B by double-blind method,with 51 patients in each group.Targeted pain nursing intervention was used in group A and routine nursing intervention was used in group B.The patients were followed up for 1 month,the pain score,comfort score,mental health score,quality of life score,analgesic drug dosage and adverse reactions were observed.Result:The scores of pain and mental health in group A were lower than those in group B,and the scores of comfort and quality of life in group A were significantly higher than those in group B,the differences were statistically significant(P<0.05).The analgesic dosage of group A was(64.44±10.05)mg,lower than(98.78±15.69)mg of group B,the difference was statistically significant(P<0.05).The incidence of adverse reactions in group A was 1.96%,which was lower than 15.69%in group B,the difference was statistically significant(P<0.05).Conclusion:Targeted pain nursing in patients with incision pain after thyroid surgery has a significant effect,can improve their physical and mental state and pain,and reduce the amount of analgesic drugs and adverse reactions,is worth applying in clinical promotion.
作者
吴勇飞
WU Yongfei(Huangmei County Hospital of Traditional Chinese Medicine,Huangmei 435500,China)
出处
《中外医学研究》
2019年第35期77-78,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
