摘要
目的探讨疼痛护理联合心理护理对急性化脓性乳腺炎患者术后恢复的影响。方法择取2020年8月至2022年8月在江门市中心医院乳腺科接受治疗的60例急性化脓性乳腺炎患者,按照随机数字表法分为参照组和试验组,各30例。参照组实施常规护理,试验组实施疼痛护理联合心理护理,对比两组术后恢复效果、疼痛情况、睡眠质量、护理满意度、情绪状态。结果试验组术后引流管留置时间、切口愈合时间及住院时间均较参照组短(P<0.05)。术前,两组数字评分法(NRS)评分比较无差异(P>0.05);术后1、2、3 d试验组NRS评分均较参照组低,且组内比较术后1、2、3d均低于术前(P<0.05)。试验组各项匹兹堡睡眠质量指数评分均较参照组低(P<0.05)。试验组护理满意度各项评分均较参照组高(P<0.05)。护理前,两组广泛性焦虑量表(GAD-7)、患者健康问卷抑郁量表(PHQ-9)评分比较无差异(P>0.05);护理后,试验组GAD-7、PHQ-9评分较参照组低,且组内比较护理后均低于护理前(P<0.05)。结论对急性化脓性乳腺炎患者实施疼痛护理联合心理护理干预的效果明显,尤其在缩短患者切口愈合时间及出院时间方面具有显著效果,可有效减轻疼痛程度,改善情绪状态及睡眠质量。
Objective To explore the effect of pain nursing combined with psychological nursing on postoperative recovery in patients with acute suppurative mastitis.Methods A total of 60 patients with acute suppurative mastitis who were treated in t he Breast Department of Jiangmen Central Hospital from August 2020 to August 2022 were sel ected as the subjects and divided into a reference group and an experimental group of 30 cases in each group according to the random number table method.The reference group implemented routine care,and the experimental group implemented pain nursing combined with psychological nursing.The postoperative recovery effects,pain conditions,sleep quality,nursing satisfaction,and emotional state were compared between the groups.Results The postoperative drainage tube retention time,incision healing time,and hospitalization time of the experimental group were shorter than those of the reference group(P<0.05).Before surgery,there was no difference in numeric rating scale(NRS)score between the two groups(P>0.05).At 1,2,a nd 3 day after surgery,NRS scores of the experimental group were all lower than those of the reference group,and intra-group comparison showed that NRS scores were all lower than those before surgery,with significant differences(P<0.05).The Pittsburgh sleep quality index scores of the experimental group were lower than those of the reference group(P<0.05).The nursing satisfaction scores of the experimental group were higher than those of the reference group(P<0.05).Before nursing,there were no differences in the generalized anxiety disorder scale(GAD-7)and patient health questionnaire(PHQ-9)scores between the two groups(P>0.05).After nursing,the GAD-7 and PHQ-9 scores of the experimental group were lower than those of the reference group,and the intra-group comparison showed that the GAD-7 and PHQ-9 scores were lower than those before nursing(P<0.05).Conclusion The effect of pain nursing combined with psychological nursing intervention for patients with acute suppurative mastitis is
作者
王燕
郑敏娟
WANG Yan;ZHENG Minjuan(Breast Diagnosis and Treatment Center,Jiangmen Central Hospital,Guangdong Province,Jiangmen 529030,China;Guangdong Jiangmen Chinese Medicine College,Guangdong Province,Jiangmen 529099,China)
出处
《妇儿健康导刊》
2024年第23期161-165,共5页
JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE
关键词
疼痛护理
心理护理
急性化脓性乳腺炎
术后恢复
护理满意度
情绪状态
Pain nursing
Psychological nursing
Acute suppurative mastitis
Postoperative recovery
Nursing satisfaction
Emotional state
