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术前疼痛认知干预对脊柱内固定术后患者的影响

Effects of a preoperative pain perception intervention on patients after internal spinal fixation surgery
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摘要 目的探讨术前疼痛认知干预措施在脊柱内固定术后患者中的应用效果。方法选取2020年1月—2022年2月医院收治的脊柱内固定术患者60例,按照组间基本特征具有可比性的原则分为观察组和对照组,每组30例。对照组采用常规护理干预措施,观察组在对照组基础上加用术前疼痛认知干预措施,比较两组患者干预前后日常生活活动能力量表(BMI)评分、QOL-BREF生活质量量表评分、Zung焦虑自评量表(SAS)评分、视觉疼痛模拟量表(VAS)评分。结果护理干预前,两组患者BMI、QOL-BREF评分的比较,差异均无统计学意义(P>0.05);护理干预后,观察组患者BMI、QOL-BREF评分均高于对照组,差异有统计学意义(P<0.05)。两组患者的SAS评分在干预前、干预后1周、2周、4周、6周时均随时间呈下降的趋势,时间之间差异有统计学意义(P时间<0.05);干预后各时点的SAS评分均为观察组低于对照组,组间之间差异有统计学意义(P组间<0.05);并且随观察时间延长,组间差异逐渐增大(P交互<0.05)。两组患者的VAS评分在干预前及干预后6 h、12 h、24 h、48 h时均随时间呈下降的趋势,时间之间差异有统计学意义(P时间<0.05);干预后各时点的VAS评分均为观察组低于对照组,组间之间差异有统计学意义(P组间<0.05);并且随观察时间延长,组间差异逐渐增大(P交互<0.05)。结论将术前疼痛认知干预措施应用在脊柱内固定术患者中,可缓解患者负性情绪,减轻其疼痛程度,提高其日常生活能力和生活质量。 Objective To explore the application effect of preoperative pain cognitive interventions in postoperative patients with internal spinal fixation.Methods 60 cases of spinal internal fixation patients admitted to the hospital from January 2020 to February 2022 were selected and divided into observation group and control group according to the principle of comparability of basic characteristics between groups,with 30 cases in each group.The control group used conventional nursing interventions,and the observation group added preoperative pain cognitive interventions on the basis of the control group,comparing the two groups of patients before and after the intervention with the activities of daily living scale(BMI)scores,QOL-BREF quality of life scale scores,Self-rating Anxiety Scale(SAS)scores,and Visual pain Analogue Scale(VAS)scores.Results Before the nursing intervention,the comparison of BMI and QOL-BREF scores of the two groups of patients was not statistically significant(P>0.05).after the intervention,the BMI and QOL-BREF scores of the patients in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The SAS scores of patients in both groups showed a decreasing trend with time at pre-intervention,1 week,2 weeks,4 weeks,and 6 weeks after intervention,and the diff erence between the times was statistically significant(P<0.05).SAS scores of the observation group were lower than those of the control group at all time points after intervention,and the difference between the groups was statistically significant(P<0.05).And the difference beteeen the groups gradually increased with the observation time(P<0.05).The VAS scores of patients in both groups showed a decreasing trend with time at 6 h,12 h,24 h and 48 h before and after the intervention,and the differences between the times were statistically significant(P<0.05).the VAS scores of the observation group were lower than those of the control group at all time points after the intervention,and
作者 羽洁静 YU Jiejing(Wuzhou Red Cross Hospital,Wuzhou,543000,China)
出处 《护理实践与研究》 2023年第17期2649-2653,共5页 Nursing Practice and Research
基金 梧州市科技计划项目(编号:202002130)。
关键词 术前疼痛认知 脊柱内固定术 疼痛 焦虑情绪 日常生活能力 生活质量 Preoperative pain cognition Internal spinal fixation Pain Anxiety Daily living ability Quality of life
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