心理干预对耳鼻喉科患者手术后疼痛的影响

摘要

Objective To investigate effect of psychological nursing in reducing postoperative pain of otorhinolaryngologic surgical procedures.Methods 120 patients undergoing otorhinolaryngologic surgical procedures in our hospital from February 2011 to September 2014 were randomly divided into research group and control group,60 cases in each group.Research group was treated with pertinent psychological nursing,while control group was treated with routine nursing care.Pain degree was evaluated by visual analog scale (VAS).Postoperative pain rating,pain degree,hospital stay time and nursing satisfaction were compared between two groups.Results Postoperative Pain rate of research group was 11.7％,lower than 61.7％ of control group (P＜0.05).VAS score 24,72 h after surgery of research group were better than those of control group (P＜0.05),hospital stay time was shorter than that of control group (P＜0.05).Nursing satisfaction of research group was higher than that of control group (96.7％ vs.83.3％;P＜0.05).Conclusion Psychological nursing has exact effect in reducing postoperative pain in department of otolaryngology,which can effectively improve patients' recovery.%目的 探讨心理干预对减轻耳鼻喉科手术后疼痛程度的影响.方法 选取2011年2月至2014年9月在我院行耳鼻喉部手术的120例患者作为研究对象,采用随机数字表法将所选患者分为研究组和对照组各60例,研究组给予针对性心理护理干预,对照组给予耳鼻喉科常规护理,使用视觉模拟评分法(VAS)评价疼痛程度,比较两组患者术后疼痛分级、疼痛程度、住院时间和护理满意度.结果 研究组术后总疼痛率为11.7％,显著低于对照组的61.7％(P＜0.05);研究组患者术后24、72 h VAS评分均优于对照组(P＜0.05),住院时间短于对照组(P＜0.05);研究组护理满意度为96.7％,高于对照组的83.3％ (P＜0.05).结论 心理护理干预用于耳鼻喉部手术术后疼痛患者效果确切,可有效减轻术后疼痛,促进患者早日康复.