摘要
目的观察肛周脓肿术后疼痛患者应用预见性护理的效果。方法将肛肠科84例肛周脓肿术后疼痛患者为研究对象,随机分为对照组给予常规护理模式和观察组给予预见性护理干预,每组42例。采用视觉模拟评分法(VAS)比较2组患者护理前后疼痛缓解程度的评分状况,并对患者进行护理满意度调查,同时比较2组护患关系、病区环境、护士工作能力及患者依从性等方面的差异。结果 2组患者护理前疼痛程度评分比较,差异无统计学意义(P>0.05);2组患者护理后疼痛程度较护理前均显著改善,且观察组患者术后疼痛程度较对照组明显降低(P<0.05)。观察组患者护理满意度为92.86%,较对照组的71.43%显著升高(P<0.05)。2组接受不同护理模式后,观察组护患关系和病区环境较对照组均显著改善,护士工作能力和患者依从性较较对照组均明显提高,呼叫铃使用次数较对照组明显减少(P<0.05)。结论肛周脓肿术后疼痛患者应用预见性护理可明显减少疼痛等不适感,可减轻患者身心负担,亦能够明显提高患者的护理满意度,因此具有良好的临床应用价值。
Objective To observe the effect of foreseeing nursing on patients with pain after perianal abscess surgery.Methods Eighty four patients with pain after perianal abscess surgery were randomly divided into the control group（n = 42）and observation group（n = 42）. The patients in control group were treated by conventional nursing,while the patients in observation group were treated by foreseeing nursing. The visual analogue scale（VAS） was used to compare the pain scores between the two groups before and after nursing. In addition,the nursing satisfaction degree of patients was investigated and the relationship between nurse and patients,ward condition,work ability of nurses and compliance of patients were observed and compared between the two groups. Results Before nursing there were no significant differences in pain scores between the two groups（P〉 0. 05）. After nursing,the pain degree in both groups was significantly improved,moreover,the pain degree in observation group was significantly lower than that in control group（P〈 0. 05）. The nursing satisfaction degree in observation group was 92. 86%,which was significantly higher than that（71. 43%） in control group（P〈 0. 05）. Moreover,the relationship between nurse and patients,ward condition,work ability of nurses and compliance of patients in observation group were significantly improved,and the calling-bell times were significantly decreased,as compared with those in control group（P〈 0. 05）. Conclusion The foreseeing nursing for patients with pain after perianal abscess surgery can significantly relieve the discomfort feeling such as pain,relieve the physical suffering and psychological burden of patients,and can significantly improve patients＇ satisfaction degree to nursing,therefor,which is worth using widely in clinical practice.
作者
李桂兰
LI Guilan(Department of Anorectal Diseases,Guangyuan Traditional Chinese Medicine Hospital,Sichuan,Guangyuan 628000,China)
出处
《河北医药》
CAS
2018年第15期2384-2387,共4页
Hebei Medical Journal
关键词
肛周脓肿术
疼痛
预见性护理
护理满意度
perianal abscess
pain
foreseeable nursing
nursing satisfaction degree
