Objective To explore the pain nursing efficacy of children funnel chest after Nuss procedure. Methods Sixty-two children funnel chest undergoing Nuss procedure were assigned to intervention and control group of 31 ones each according to random number table. Both groups received routine nursing,and intervention was plus pain nursing. Pain degrees were assessed with the Visual Analogue Scale (VAS) after operation,the VAS scores and calling pain frequencies as well as crying,body stiffness,effective cough and out-of-bed activity rates compared between 2 groups. Results Calling pain frequencies were significantly lower in intervention than in control group in the 1st,2nd and 3rd day after operation (P<0.01);the VAS scores were significantly lower in intervention than in control group in the 2nd and 3rd (P<0.01);the incidences of crying and body stiffness were significantly lower (P<0.05 or 0.01) and effective cough and out-of-bed activity rates higher (P<0.05) in intervention than in control group in the 3rd. Conclusion Pain nursing can effectively relieve pain status of children with funnel chest after Nuss procedure and is beneficial to post-operation quick rehabilitation.%目的 探讨小儿漏斗胸微创矫正术后疼痛护理的临床效果.方法 将62例行漏斗胸微创矫正术患儿按照随机数字表法分为干预组和对照组,每组31例,两组均给予常规护理,干预组联合疼痛护理.术后采用疼痛视觉模拟评分法评定两组患儿的疼痛程度,比较两组患儿的视觉模拟评分与呼叫疼痛次数,比较术后第3 d两组患儿哭闹、身体僵硬、有效咳嗽、下床活动率.结果 干预组术后第1 d、2 d、3 d呼叫疼痛次数显著低于对照组(P<0.01);第2 d、3 d 疼痛视觉模拟评分显著低于对照组(P<0.01);第3 d患儿哭闹、身体僵硬发生率显著低于对照组(P<0.5或0.01),有效咳嗽、下床活动率显著高于对照组(P<0.05).结论 疼痛护理能有效减轻或缓解漏斗胸患儿行微创矫正术后的疼痛状况,有利于患儿术后快速康复.
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