心脏术后患者加速康复中的规范化疼痛管理

Standardized pain management in accelerated rehabilitation of patients after cardiac surgeries

  • 摘要:
      目的  观察规范化疼痛管理在心脏术后患者加速康复中的应用效果。
      方法  将150例心脏外科手术治疗的患者随机分为对照组75例和观察组74例(中途脱落1例)。对照组采用常规护理方法,观察组在常规护理基础上,实施规范化的疼痛管理,比较2组患者术后1~5 d的疼痛评分、有效咳嗽情况、下床活动情况、肺部感染发生率以及护理服务满意度。
      结果  观察组术后1~5 d疼痛评分低于对照组,有效咳嗽情况优于对照组,下床活动情况优于对照组,差异有统计学意义(P < 0.05);观察组术后肺部感染发生率低于对照组,患者对护理服务满意度高于对照组,差异有统计学意义(P < 0.05)。
      结论  规范化疼痛管理能够缓解心脏术后患者的疼痛,降低术后并发症发生率,提高护理服务质量,促进患者术后康复。

     

    Abstract:
      Objective  To observe the effect of standardized pain management in accelerated rehabilitation of patients after cardiac surgeries.
      Methods  Totally 150 patients with cardiac surgeries were randomly divided into control group (n=75) and observation group (n=74, one case missed in the study). The control group was treated with routine nursing measures, and the observation group was treated with standardized pain management on the basis of routine nursing. The pain scores at 1 to 5 days after operation, effective cough condition, bed-off activity condition, the incidence of pulmonary infection and the satisfaction degree to nursing service were compared between the two groups.
      Results  The pain scores at 1 to 5 days after operation in the observation group were significantly lower than those in the control group, and the effective cough condition and bed-off activity condition were significantly better than those in the control group (P < 0.05). The incidence of postoperative pulmonary infection in the observation group was significantly lower than that in the control group, and the satisfaction degree to nursing service was significantly higher than that in the control group (P < 0.05).
      Conclusion  Standardized pain management can alleviate the pain of patients after cardiac surgery, reduce the incidence of postoperative complications, enhance the quality of nursing service, and promote the postoperative rehabilitation.

     

/

返回文章
返回