摘要
目的探究采用疼痛护理干预在去骨瓣开颅减压术治疗颅脑损伤患者中的护理效果及对疼痛症状的影响。方法从2019年3月—2021年3月福建省立医院神经外科诊治的颅脑损伤患者中选择87例的临床资料进行回顾性分析,所有患者均行去骨瓣开颅减压术,根据护理方式的差异将其分为参照组和研究组,参照组43例患者采用常规护理干预,研究组44例患者在参照组的基础上行疼痛护理干预。比较两组患者干预前、后的疼痛模拟视觉量表(VAS)评分、Kolcaba舒适度量表(Kolcaba)评分、匹兹堡睡眠质量指数(PSQI)评分、焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分。结果干预3、7 d后,研究组的VAS评分均比参照组低,差异有统计学意义(P<0.05)。干预后,研究组Kolcaba评分高于参照组,且PSQI评分低于参照组,差异有统计学意义(P<0.05)。研究组干预后的SAS评分及SDS评分分别为(44.28±4.19)分、(39.27±4.28)分,低于参考组的(47.27±5.74)分、(43.55±6.06)分,差异有统计学意义(t=2.78、3.81,P<0.05)。结论采用疼痛护理干预行去骨瓣开颅减压术治疗颅脑损伤患者,能够有效减轻患者痛感,缓解其不良情绪,提高舒适度、睡眠质量。
Objective To explore the nursing effect of pain nursing intervention in craniectomy and decompressive craniotomy for patients with craniocerebral injury and its influence on pain symptoms.Methods From March 2019 to March 2021,clinical data of 87 patients with brain injury diagnosed and treated by neurosurgery of Fujian Provincial Hospital were selected for retrospective analysis.All patients were treated with decompressive craniectomy.They were divided into a reference group and a study group according to the difference in nursing methods.43 patients in the reference group were treated with conventional nursing intervention,and 44 patients in the study group were treated with pain nursing intervention based on the reference group.Compared the score of Visual Analogue Scale(VAS),Kolcaba Comfort Scale(Kolcaba),Pittsburgh Sleep Quality Index(PSQI),Selfrating Anxiety Scale(SAS),and Selfrating Depression Scale(SDS)of two groups of patients before and after intervention.Results After 3 and 7 d of random intervention,the VAS score of the study group was lower than that of the reference group,and the difference was statistically significant(P<0.05).After intervention,the Kolcaba score of the study group was higher than that of the reference group,and the PSQI score was lower than that of the reference group,and the difference was statistically significant(P<0.05).The SAS scores and SDS scores in the study group after intervention were(44.28±4.19)points and(39.27±4.28)points,respectively,which were lower than those in the reference group´s(47.27±5.74)points and(43.55±6.06)points scores,and the difference was statistically significant(t=2.78,3.81,P<0.05).Conclusion Using pain nursing intervention to perform craniectomy and decompressive craniotomy in the treatment of patients with craniocerebral injury can effectively reduce the pain of patients,relieve their negative emotions,and improve comfort and sleep quality.
作者
陈曦
何小敏
林丽珍
CHEN Xi;HE Xiaomin;LIN Lizhen(Department of Neurosurgery,Fujian Provincial Hospital,Fuzhou,Fujian Province,350001 China)
出处
《中外医疗》
2023年第13期156-160,共5页
China & Foreign Medical Treatment
