摘要
目的:探讨循证疼痛护理对老年胆囊结石患者胆囊切除术后疼痛程度和心理应激的影响.方法:选取2022 年 1 月至 2023 年 12 月本院收治的 60 例行胆囊切除术的老年胆囊结石患者作为研究对象.按照随机数字表法,将其分为观察组(n=31,接受循证疼痛护理)和对照组(n=29,接受常规护理).比较两组患者术后疼痛原因及疼痛程度[视觉模拟评分法(VAS)],心理应激程度[抑郁自评量表(SDS)、焦虑自评量表(SAS)]及睡眠质量[匹兹堡睡眠质量量表(PSQI)].结果:两组患者的术后疼痛原因主要为创口疼痛和牵涉痛.术后 4、5d,观察组患者VAS评分均低于对照组,差异均有统计学意义(P<0.05).干预后,两组患者SDS、SAS、PSQI评分均低于干预前,且观察组患者各项评分均低于对照组,差异均有统计学意义(P<0.05).结论:循证疼痛护理可显著降低老年胆囊结石患者胆囊切除术后的疼痛程度及心理应激程度,提高患者睡眠质量,具有临床应用价值.
Objective:To explore the influence of evidence-based pain nursing on postoperative pain and psychological stress in elderly patients with gallstone surgery.Methods:A total of 60 elderly patients with gallstone surgery in our hospital from January 2022 to December 2023 were selected as study objects.According to random number table method,they were divided into observation group(n=31,received evidence-based nursing)and control group(n=29,received routine nursing).The postoperative pain level[visual analogue scale(VAS)],psychological stress[self-rating depression scale(SDS),self-rating anxiety scale(SAS)]and sleep quality[Pittsburgh sleep quality index(PSQI)] were compared between the two groups.Results:The main causes of postoperative pain in both groups were wound pain and referred pain.On the 4-5 days after surgery,the VAS scores of observation group were lower than those of control group,and the differences were statistically significant(P<0.05).After intervention,the scores of SDS,SAS and PSQI in the two groups were lower than those before intervention,and the scores of the patients in observation group were lower than those in control group,and the dfferences were statistically significant(P<0.05).Conclusion:Evidence-based pain nursing can relieve the postoperative pain and psychological stress and improve the sleep quality in elderly patients with gallstone surgery,which is worthy of clinical application.
作者
李婷
谭琴
邓露
LI Ting;TAN Qin;DENG Lu(Department of Surgery,Lianhua County People's Hospital,Pingxiang 337100,China)
出处
《四川解剖学杂志》
2024年第5期135-137,共3页
Sichuan Journal of Anatomy
关键词
循证疼痛护理
老年
胆囊结石
疼痛
心理应激
睡眠质量
Evidence-based pain nursing
Elderly
Gallstones
Pain
Psychological stress
Sleep quality
