摘要
目的了解患者对术后疼痛治疗的认识,探讨影响甲状腺肿瘤患者术后疼痛阈值的护理干预措施,以减轻术后疼痛。方法将289例甲状腺肿瘤术后患者采取双盲法随机分为干预组150例和对照组139例。对照组术后疼痛时予以止痛治疗及常规护理,而干预组在对照组治疗护理的基础上予以综合护理干预措施,应用VAS分级的评分法,分别统计2组患者术后12 h、24 h、48 h、72 h的疼痛评分,分析总结出不同患者的疼痛阈值,并进行对照比较。结果干预组患者术后12 h、24 h、48 h、72 h的疼痛评分明显低于对照组,而疼痛阈值明显高于对照组,2组比较差异有统计学意义(P<0.01)。结论综合护理干预措施能明显地提高甲状腺肿瘤术后患者的疼痛阈值,减轻术后疼痛及并发症,从而提高护理工作满意度。
Objective To research the patients＇ cognition of the treatments of postoperative pain, to discuss the elements which affect the pain, then to ease the pain. Methods 289 cases of thyroid cancer postoperative patients were randomly divided into 2 groups, 150 cases in the intervention group and 139 cases in the control group. Patients in the control group were received the pain treatment and conditional nursing, however, the intervention group patients were received the comprehensive nursing, then use the VAS to evalu- ate the results. Results The scores of pain which are evaluated after 12 h, 24 h,48 h,72 h in the intervention group were higher than those in the control group , and there are significant differences in the two groups（P〈0.01）. Conclusion Comprehensive nursing can reduce the patients＇ pain and improve the nursing satisfaction.
基金
广西玉林市科学研究与技术开发项目(项目编号:11023025)
关键词
甲状腺肿瘤
术后
疼痛阈值
Thyroid Neaplasms
Postoperative
Pain Threshold
