| 孙会会.基于循证理论的疼痛护理在腹腔镜大肠癌手术病人快速康复中的应用效果[J].上海护理,2019,19(S1): |
| 基于循证理论的疼痛护理在腹腔镜大肠癌手术病人快速康复中的应用效果 |
| Application of pain nursing based on evidence-based theory in rapid rehabilitation of patients undergoing colorectal cancer surgery |
| DOI： |
| 中文关键词: 大肠癌 腹腔镜手术 快速康复 循证护理 疼痛护理 |
| 英文关键词:colorectal cancer laparoscopic surgery rapid rehabilitation evidence-based nursing pain nursing. |
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| 中文摘要: |
| 目的 探讨基于循证理论的疼痛护理在腹腔镜大肠癌手术病人快速康复中的应用效果。方法 选择2016年1月至2018年4月在我院接受手术治疗的134例大肠癌患者作为研究对象,采用随机数字表法将患者分为对照组和实验组各67例。对照组给予常规快速康复护理,实验组在对照组的基础上增加基于循证理论的疼痛护理。比较两组术后24h引流液量、首次排气时间、首次下床活动时间、平均住院时间、疼痛程度、负性情绪和护理满意度。结果 实验组首次排气时间、流质饮食时间、首次下床活动时间、平均住院时间与对照组相比较均显著降低(P＜0.05)。实验组术后1天和术后7天疼痛评分显著低于对照组,差异有统计学意义(P＜0.05)。2组间SAS、SDS评分组间、组内比较差异均有统计学意义(P＜0.05),实验组SAS和SDS评分与对照组相比较有减少趋势(P＜0.05)。实验组护理满意优良率显著高于对照组,差异有统计学意义(P＜0.05)。结论 基于循证理论的疼痛护理可降低腹腔镜大肠癌患者术后的疼痛程度,缓解患者的负性情绪,加强快速康复理念的作用,增加护理满意优良率,值得临床推广应用。 |
| 英文摘要: |
| Objective to explore the effect of pain nursing based on evidence-based theory in rapid rehabilitation of patients undergoing colorectal cancer surgery. Methods 134 patients with colorectal cancer who received surgical treatment in our hospital from January 2016 to April 2018 were selected as research subjects, and the patients were divided into control group and experiment group by random number table method, 67 cases in each group. The control group was given conventional rapid rehabilitation nursing, while experiment group was given evidence-based pain nursing on basis of control group. The recovery index, pain level, negative emotion and nursing satisfaction of the 2 groups were observed. Results There was no significant difference in the flow rate between the 2 groups (P > 0.05), while the exhaust time, the feeding time of the flow, the time of the bed activity and the time of the work in the experiment group were significantly lower than those in the control group (P < 0.05).The pain score of the experiment group was significantly lower than that of the control group 1 day after surgery and 7 days after surgery., and the difference was statistically significant (P < 0.05).The differences of SAS and SDS scores between the 2 groups were statistically significant (P < 0.05), and the scores of SAS and SDS in experiment group showed a decreasing trend compared with control group(P < 0.05). The excellent and good rate of nursing satisfaction in experiment group was significantly higher than that in control group, and the difference was statistically significant (P < 0.05). Conclusion The pain nursing based on evidence-based theory can reduce the pain degree of the patients with colorectal cancer after laparoscopy, alleviate the bad mood of the patients, promote the recovery after the operation, and increase the good rate of nursing satisfaction, which is worthy of clinical application. |
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