护理干预对减轻腹部外科手术术后疼痛的效果评价

李宗慧

（汉中市镇巴县中医院，陕西 汉中，723600）

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摘要：

目的 探讨护理干预对减轻腹部外科手术术后疼痛的效果，评价其可行性。方法 选取于我院进行腹部外科手术的患者150例，随机将患者分为对照组和研究组，各75 例。对照组患者采取常规腹部外科护理，研究组患者在对照组的基础上实施全面护理干预，比较两组患者的临床效果。结果 研究组患者下床活动时间、肛门排气时间和住院时间明显短于对照组（P<0.05）。对照组中，术后72 h VAS 评分较术后清醒时及术后24 h 明显降低（P<0.05）；观察组中，术后24 h VAS评分明显低于 术后清醒时，且术后72 h 较术后24 h 明显降低（P<0.05）。术后24、72 h研究组患者的VAS 评分明显低于对照组（P<0.05）。研究组患者满意度为98.67%，显著高于对照组的81.33%（P<0.05）。结论 护理干预应用于腹部外科手术，可以显著减轻患者的腹部疼痛，提高对护理的满意度，值得临床推广使用。

关键词：腹部外科手术；疼痛；护理干预

中图分类号：R473.6文献标志码：A文章编号：2096-1413(2017)18-0179-02

Effect evaluation of nursing intervention on pain relief after abdominal surgery
LI Zong-hui
(Traditional Chinese Medicine Hospital of Zhenba County, Hanzhong 723600, China)

ABSTRACT: Objective To explore the effect of nursing intervention on pain relief after abdominal surgery and evaluate its feasibility. Methods A total of 150 patients who underwent abdominal surgery in our hospital were randomly divided into control group and study group, with 75 cases in each group. The control group underwent routine abdominal surgery care, and the study group implemented comprehensive nursing measures based on the control group. The clinical effects of the two groups were compared. Results The out of bed time, anus exhaust time and hospital stays of the study group were shorter than those of the control group (P<0.05). In the control group, the VAS score after 72 h was lower than that after 24 h; in study group, the VAS score after 24 h was lower than that postoperative awake, and the VAS score after 72 h was lower than that after 24 h (P<0.05). At 24 and 72 hours after operation, the VAS scores of the study group were lower than those of the control group (P<0.05). Conclusion Nursing intervention was applied in abdominal surgery can significantly reduce the patients`` abdominal pain and improve the patients`` satisfaction, which is worthy of clinical application and popularization.
KEYWORDS: abdominal surgery; pain; nursing intervention

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