儿童创伤性疼痛链式管理方案的制订及应用

doi:10.3761/j.issn.0254-1769.2020.08.005

摘要/Abstract

摘要：

目的制订儿童创伤性疼痛链式管理方案,并探讨其在临床中的应用效果。方法选取2019年1月—4月选择某三级甲等专科医院小儿骨科113例四肢骨折需手术治疗的患儿为研究对象,按时间顺序分为试验组和对照组。试验组实施创伤性疼痛链式管理,对照组给予常规疼痛处理。比较两组入科48 h内及手术后48 h内的疼痛评分,家长对患儿疼痛控制的满意率及焦虑、抑郁负性情绪发生情况。结果与对照组相比,试验组入科后48 h内及术后48 h内疼痛评分较低,患儿家长对患儿疼痛控制满意度提高,焦虑、抑郁负性情绪明显缓解,两组比较,差异具有统计学意义（均P<0.05）。结论创伤性疼痛链式管理方案的应用能够有效减轻患儿围手术期疼痛,缓解家长焦虑、抑郁情绪,提高患儿家长对患儿疼痛控制的满意度,促进患儿舒适。

关键词: 创伤, 疼痛, 链式管理, 实践, 儿科护理学

Abstract:

Objective To formulate a chain management scheme for traumatic pain in children and to explore its clinical application effects. Methods From January to April 2019,113 children with limb fractures in Department of Pediatric Orthopedics of a tertiary specialty hospital were selected and allocated into an experimental group and a control group according to the chronological order. The experimental group was treated with the chain management scheme of traumatic pain,and the control group was treated with routine pain management plan. The pain scores within 48 hours after admission and within 48 hours after operation, parents’ satisfaction with pain control and the occurrence of negative emotions of anxiety and depression were compared between 2 groups. Results Compared with the control group,the pain scores in the experimental group were lower within 48 hours after admission and within 48 hours after operation;parents of the children were more satisfied with the pain control;the negative emotions such as anxiety and depression were significantly relieved;the differences were statistically significant（both P<0.05）. Conclusion The application of the chain management scheme for traumatic pain can effectively reduce the perioperative pain of children,relieve the anxiety and depression of parents,increase the satisfaction of parents towards pain control,and promote the comfort of children.

Key words: Trauma, Pain, Chain Management, Practice, Pediatric Nursing

方继红, 武凤芹, 李镇宇, 肖玉梅, 汪云云, 谢国萍, 尹莹, 谢康, 叶宏武, 姚小燕, 刘俊霞, 孙军. 儿童创伤性疼痛链式管理方案的制订及应用[J]. 中华护理杂志, 2020, 55(8): 1154-1158.

FANG Jihong, WU Fengqin, Li Zhenyu, XIAO Yumei, WANG Yunyun, XIE Guoping, YIN Ying, XIE Kang, YE Hongwu, YAO Xiaoyan, LIU Junxia, SUN Jun. Formulation and clinical practice of a chain management scheme of traumatic pain in children[J]. Chinese Journal of Nursing, 2020, 55(8): 1154-1158.

图/表 4

表1 两组一般情况资料比较[例（百分比,%）]

表2 两组入科后48 h内疼痛评分比较[分,M（P25,P75）]

表3 两组术后48 h内疼痛评分比较[分,M（P25,P75）]

表4 两组患儿家长医院焦虑抑郁量表得分的比较（分,$\bar{x}$±s）

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