无痛理念在泌尿外科门诊手术患者护理中的应用效果

摘要

Objective To investigate the clinical effects of painless concept in nursing of patients underwent urology outpatient surgeries. Methods From June to December 2014, according to the outpatient number, 100 patients underwent urology outpatient operation in our hospital were randomly divided into the control group and the observation group, with 50 cases in each group. Patients in the control group received routine nursing, while patients in the observation group received standardized pain assessment on the basis of routine nursing. Intervention measures were carried out and preemptive analgesia was used. Adverse drug reactions were evaluated and dealt with. Degree of pain, and satisfaction with pain control pf patients were assessed. The difference of 10 clinical nurses in knowledge and attitude towards pain management before and after the intervention was evaluated.Results The number of patients in the observation group with postoperative pain score ≥5 points and needing pain medication was 3 cases, while the number in the control group was 22 (χ2=19.26,P<0.01). The number of patients whose satisfaction score >90 was 46, while it was 38 in the control group (χ2 =4. 762, P<0. 05 ) . After training, the scores of 10 clinical nurses in pain management knowledge and attitude were significantly increased from (17.58±4.0) to (34.00±5.3) (t=7.820,P<0.01). Conclusions By promoting painless conception in outpatient operating nursing, we provide the patients with a scientific, standardized, and feasible working style of pain control. The overall satisfaction is improved, and pain management knowledge attitude of nurses in outpatient department are enhanced.%目的：探讨无痛理念在泌尿外科门诊手术患者中应用的临床效果。方法采用便利取样选择2014年6—12月宁波市第一医院收治的泌尿外科门诊手术患者100例,按照门诊号随机分为对照组与观察组,每组50例。对照组为常规护理,观察组在常规护理基础上对术后患者进行标准化疼痛评估,制定干预措施,实施超前镇痛,处理药物不良反应并进行效果评价,评估两组患者术后疼痛程度、对疼痛控制的满意度；比较实施前后10名门诊护士对疼痛管理知识和态度的差异。结果术后观察组疼痛评分≥5分需使用止痛药物干预的患者3例,对照组22例,两组比较差异有统计学意义(χ2＝19.26,P<0.01)。观察组对疼痛控制满意度得分>90分患者46例,对照组38例,差异有统计学意义(χ2＝4.762,P<0.05)。培训前10名护士疼痛管理知识和态度总分平均(17.58±4.0)分,培训后提高至(34.00±5.3)分,差异有统计学意义( t＝7.820,P<0.01)。结论门诊手术室护理工作中融入无痛理念,为门诊患者术后疼痛控制提供了科学、规范、可操作的工作新方式,提升了患者满意度,同时也提升了门诊护士疼痛管理知识和积极的疼痛管理态度。