| 腹部手术患者疼痛评估管理的效果观察 |
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| 引用本文： | 潘莉,操静,丁小容,熊少伟,陈洁丽,杨薇,伍友春.腹部手术患者疼痛评估管理的效果观察[J].南方护理学报,2011,18(1). |
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| 作者姓名： | 潘莉 操静 丁小容 熊少伟 陈洁丽 杨薇 伍友春 |
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| 作者单位： | 北京大学深圳医院10A普通外科,广东,深圳,518036 |
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| 摘 要： | 目的 探讨对腹部手术患者实施疼痛评估管理的效果.方法 将251例择期腹部手术患者随机分为对照组(n=116)和观察组(n=135),对照组患者采用传统的临床经验法对疼痛进行护理,即患者在术后主诉疼痛难忍和要求药物镇痛时才被动地给予镇痛治疗;观察组在常规围术期护理基础上实施疼痛评估管理,要求护理人员统一掌握使用视觉模拟疼痛量表(Visual Analogue Scale,VAS):护士从患者入院即开始运用规范的语言对患者和家属进行疼痛知识及疼痛治疗观念教育,介绍使用VAS线性标尺表达疼痛的方法,使其对术后疼痛有较全面的认识,能正确地表达术后疼痛,当VAS评分≥5分即报告医生进行镇痛治疗.术后72 h对两组患者进行问卷调查,评估镇痛治疗效果及其满意度.结果 两组患者接受镇痛治疗态度、术后72 h内镇痛治疗频率、疼痛治疗满意度差异均有统计学意义(P＜0.001).结论 规范化疼痛评估管理增强了患者镇痛治疗的依从性,减轻了患者术后疼痛,有利于术后康复.
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| 关 键 词： | 腹部手术 疼痛 评估 管理 |
Effect on Pain Assessment and Management for Patients Undergoing Abdominal Surgery |
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| PAN Li,CAO Jing,DING Xiao-rong,XIONG Shao-wei,CHEN Jie-li,YANG Wei,WU You-chun.Effect on Pain Assessment and Management for Patients Undergoing Abdominal Surgery[J].Nanfang Journal of Nursing,2011,18(1). |
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| Authors: | PAN Li CAO Jing DING Xiao-rong XIONG Shao-wei CHEN Jie-li YANG Wei WU You-chun |
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| Affiliation: | PAN Li,CAO Jing,DING Xiao-rong,XIONG Shao-wei,CHEN Jie-li,YANG Wei,WU You-chun(10A of General Surgery Department,Peking University Shenzhen Hospital,Shenzhen 518036,China) |
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| Abstract: | Objective To explore the implementation of pain assessment and management in patients undergoing abdominal surgery.Methods 251 cases undergoing selective abdominal surgery were randomly divided into experimental group(n=116) and control group(n=135).Patients in control group were treated with traditional routine perioperative nursing,that is,giving analgesia passively only when patients complained and required analgesia;patients in experimental group were treated with pain assessment and management on the b... |
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| Keywords: | abdominal surgery pain assessment management |
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