颅内肿瘤患者围手术期疼痛管理方案的构建及应用研究

doi:10.3761/j.issn.0254-1769.2021.06.004

摘要/Abstract

摘要：

目的构建颅内肿瘤患者围手术期疼痛管理方案,并探讨应用效果。方法采用便利抽样法,选取南京市某三级甲等医院神经外科符合纳入、排除标准的颅内肿瘤患者为研究对象,其中2019年8月—10月收治的51例患者为试验组,在常规护理的基础上实施疼痛管理方案,2019年5月—7月收治的51例患者为对照组,予以常规的疼痛护理。比较两组术后24 h和72 h的疼痛数字评价量表评分、术后24 h和1周的一般自我效能感量表评分、满意度评分和术后并发症的发生率。结果静息状态下,试验组术后72 h的疼痛数字评价量表得分为（2.49±0.86）分,低于对照组的（3.43±0.92）分,差异有统计学意义（t=5.339,P<0.001）;术后1周,试验组一般自我效能感量表得分为（21.22±1.71）分,高于对照组的（19.51±1.87）分,差异有统计学意义（t=-4.805,P<0.001）;试验组满意度评分为（93.67±2.20）分,高于对照组的（90.86±2.03）分,差异有统计学意义（t=-6.694,P<0.001）。结论实施围手术期疼痛管理方案,有利于缓解颅内肿瘤患者术后静息性疼痛,提高满意度及自我效能感,从而增强康复信念,改善疾病的预后。

关键词: 疼痛, 脑肿瘤, 疼痛测量, 自我效能, 围手术期护理

Abstract:

Objective To explore the application effects of pain management program in perioperative patients with brain neoplasms. Methods The convenient sampling method was used to select postoperative patients with brain neoplasms who met the inclusion and exclusion criteria in neurosurgery of a tertiary hospital in Nanjing. Among them,51 patients from August to October 2019 were selected as the experimental group. The pain management program was implemented on the basis of routine nursing,and 51 patients from May to July in 2019 were selected as the control group. The pain scores at 24 h and 72 h after operation,self-efficacy scores at 24 h and 1 week after operation,patient satisfaction score and incidence of postoperative complications were compared between the 2 groups. Results In resting state,the score of Numerical Rating Scale（NRS）in experimental group（2.49±0.86）was lower than that in the control group（3.43±0.92）,and the difference was statistically significant（t=5.339,P<0.001）;one week after operation,the General Self-Efficacy Scale（GSES） score of the experimental group was（21.22±1.71）,which was higher than that of the control group（19.51±1.87）,and the difference was statistically significant（t=-4.805,P<0.001）;the satisfaction score of the experimental group （93.67±2.20） was higher than that of the control group（90.86±2.03）,and the difference was statistically significant（t=-6.694,P<0.001）. Conclusion The pain management program is helpful to relieve the postoperative resting pain of patients with brain neoplasms,to improve self-efficacy and patient satisfaction,so as to enhance the rehabilitation belief of patients and promote the prognosis of the disease.

Key words: Pain, Brain Neoplasms, Pain Measurement, Self-Efficacy, Perioperative Nursing Care

陈璐,王芳,狄恒丹,盛李昕贝. 颅内肿瘤患者围手术期疼痛管理方案的构建及应用研究[J]. 中华护理杂志, 2021, 56(6): 824-830.

CHEN Lu,WANG Fang,DI Hengdan,SHENG Lixinbei. Construction of evidence-based pain management program for patients with intracranial tumor during perioperative period and application effect research[J]. Chinese Journal of Nursing, 2021, 56(6): 824-830.

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