摘要
目的:探讨疼痛规范管理对术后疼痛控制的影响。方法:将2011年4—6月我院的手术患者1042例实施疼痛规范管理,设为试验组,将2011年1—3月我院的手术患者956例实施常规术后镇痛,设为对照组。对两组患者首次进食时间、首次下床活动,术后24h、术后48h睡眠时间,以及对镇疼的措施及效果满意度等方面进行比较。结果:试验组术后疼痛程度较对照组显著减轻P<0.01(x^2=543.466);试验组患者镇痛措施及效果的满意度为98.25%,对照组对镇痛措施及效果的满意度为93.00%P<0.01(u=5.8087),试验组显著高于对照组试验组首次进食时间为(32.45±7.66)h,首次下床活动时间为(40.98±22.50)h,对照组首次进食时间为(34.05±9.26)h.首次下床活动时问为(49.79±25.68)h,试验组明显早于对照组P<0.01(u=8.014,10.595);试验组术后24h睡眠时间为(8.9±3.0)h,术后48h睡眠时间为(16.79±5.70)h,对照组术后24h睡眠时间为(6.24±3.23)h,术后48h睡眠时间(14.06±5.98)h,试验组术后24h、术后48h睡眠时间显著差于对照组P<0.01(u=19.623,14.115);,促进了术后的早日康复。结论:规范疼痛管理可有效控制和减轻疼痛,促进患者早日康复,提高患者的满意度。
Objective:To investigate the standard management of postoperative pain and pain control effects.METHODS-.April—June 2011,the surgical hospital patients with 1042 cases of implementation of standardized pain management,is set to the experimental group,the hospital from January to March 2011 were 956 cases of surgical implement routine postoperative analgesia,as control group.Eating for the first time two groups of patients,first get out of bed,after 24h,48h after sleep,and pain on the town's satisfaction measures and results were compared.Results:The postoperative pain was significantly reduced compared with the control group P<0.01(χ~2= 543.466);experimental group patients and the analgesic effect of measures of satisfaction 98.25%in the control group and the effect of analgesia satisfaction 93.00%P<0.01(u=5.8087) Tthe experimental group was significantly higher than the first time,feeding time for the test group(32.45±7.66)h,get out of bed the fir st time(40.98±22.50)h,the first feeding time for the control group(34.05±9.26)h,for the first time out of bed active for(49.79±25.68)h,the experimental group was significantly older than the control group, P<0.01(u=8.014,10.595);Eexperimental group after 24 h sleep time was(8.9±3.0)h,after 48h of sleep time(16.79±5.70)h,the control group after 24h sleep time was(6.24±3.23)h,after 48h sleep time(14.06±5.98) h,the experimental group after 24h,after 48h of sleep time was significantly worse than the control group,P<0.01(u = 19.623,14.115);,promoting postoperative recovery.Conclusion:The standardized pain management can effectively control and reduce pain and promote early recovery of patients,improve patient satisfaction.
出处
《中外妇儿健康》
2011年第8X期15-15,17,共2页
Health
