摘要
目的探讨疼痛管理方案对颅内肿瘤围术期患者疼痛及自我效能的改善作用。方法收集2021年1月至2022年12月在本院就诊颅内肿瘤并行手术治疗的患者68例,围术期以常规疼痛护理干预的患者34例纳入对照组,围术期以疼痛管理方案干预的患者34例纳入观察组,统计两组一般资料、术后疼痛程度、自我效能感评分、应激反应、满意度。结果术后1d,两组患者术后疼痛程度比较无显著差异(P>0.05),术后3d、7d,观察组患者术后疼痛程度评分低于对照组(P<0.05);术后1d,两组患者术后自我效能感评分比较无显著差异(P>0.05),术后3d、7d,两组患者自我效能感评分均较术后1d明显上升,组间比较,观察组患者自我效能感评分均高于对照组(P<0.05);术后1d,两组患者术后应激反应指标比较无显著差异(P>0.05),术后3d、7d,两组患者应激反应指标水平均较术后1d明显下降,组间比较,观察组患者应激反应指标水平均低于对照组(P<0.05);观察组患者满意度97.06%高于对照组满意度82.35%(P<0.05)。结论疼痛管理方案可减轻颅内肿瘤围术期患者疼痛程度和应激反应,提高患者自我效能感和满意度,对患者术后病情恢复具有积极作用。
Objective:To investigate the effect of pain management on pain and self-efficacy in perioperative patients with intracranial tumors.Method:68 patients with intracranial tumor who received treatment in our hospital from January 2021 to December 2022 and underwent surgical treatment were collected.34 patients with perioperative routine pain nursing intervention were included in the control group,and 34 patients with perioperative pain management intervention were included in the observation group.General information,postoperative pain,self-efficacy score,stress response and satisfaction of the two groups were analyzed.Results:1 day after surgery,there was no significant difference in postoperative pain degree between the two groups(P>0.05).3 and 7 days after surgery,postoperative pain degree score of the observation group was lower than that of the control group(P<0.05).1 day after the operation,there was no significant difference in postoperative self-efficacy scores between the two groups(P>0.05);3 and 7 days after the operation,the self-efficacy scores of the two groups were significantly higher than that of the 1 day after the operation;inter-group comparison showed that the self-efficacy scores of the observation group were higher than those of the control group(P<0.05).1 day after surgery,there was no significant difference in postoperative stress response indexes between the two groups(P>0.05).3 and 7 days after surgery,the stress response indexes in the two groups were significantly decreased compared with 1 day after surgery.Compared between groups,the stress response indexes in the observation group were lower than those in the control group(P<0.05).The satisfaction of observation group was 97.06%higher than that of control group 82.35%(P<0.05).Conclusion:Pain management can reduce pain and stress response of perioperative patients with intracranial tumors,improve self-efficacy and satisfaction of patients,and play a positive role in postoperative recovery of patients.
作者
刘景云
杨靖
王秋钰
王伟
魏建伟
Liu Jing-yun;Yang Jing;Wang Qiu-yu;Wang Wei;Wei Jian-wei(Neurosurgery Department,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan Province,China;Reception Office,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan Province,China)
出处
《罕少疾病杂志》
2023年第10期105-107,112,共4页
Journal of Rare and Uncommon Diseases
基金
中国博士后科学基金面上资助项目(2020M682361)。
关键词
颅内肿瘤
围术期
疼痛
自我效能
应激反应
Intracranial Tumor
Perioperative Period
Pain
Self-efficacy
Stress Response
