摘要
目的 构建护士驱动多学科协作甲状腺或甲状旁腺术后患者疼痛管理方案,探讨应用效果。方法 选取甲状腺或甲状旁腺术后患者116例,随机分为对照组和观察组,每组58例。对照组行常规疼痛护理管理,观察组行护士驱动多学科协作下围术期疼痛管理。比较2组患者术后疼痛评分、血压、疼痛对活动的影响、生活质量、心理状态和满意度。结果 观察组患者术后疼痛评分、血压及心理状态各维度评分均低于对照组,差异有统计学意义(P<0.05);除步行能力外,观察组术后疼痛对其他维度活动的影响均低于对照组,生活质量各维度评分和患者满意度均高于对照组,差异有统计学意义(P<0.05)。结论 护士驱动多学科协作甲状腺或甲状旁腺术后患者围术期疼痛管理方案的实施,有效减轻了患者疼痛,改善了生活质量、心理状态、患者满意度。
Objective To construct a nurse-driven multidisciplinary collaborative pain management protocol for patients after thyroid or parathyroid surgery and to explore its application effect.Methods A total of 116 patients who underwent thyroid or parathyroid surgery were randomly divided into control group and observation group,with 58 patients in each group.The control group received routine pain nursing management,while the observation group received a nurse-driven multidisciplinary collaborative perioperative pain management.Postoperative pain scores,blood pressure,the impact of pain on activities,quality of life,psychological state,and patients′satisfaction were compared between the two groups.Results Postoperative pain scores,blood pressure,and scores in each dimension of psychological status in the observation group were all lower than those in the control group,with statistically significant differences(P<0.05).Except for walking ability,the impact of postoperative pain on activities in other dimensions in the observation group was lower than that in the control group,and scores in each dimension of quality of life and patients′satisfaction in the observation group were higher than those in the control group(P<0.05).Conclusion The implementation of a nurse-driven multidisciplinary collaborative perioperative pain management protocol for patients undergoing thyroid or parathyroid surgery has effectively retieved patients′pain,enhanced their quality of life,relieved their psychological status,and increased patients′satisfaction.
作者
李卓伦
郝国蓉
郭肖燕
姚沛
LI Zhuolun;HAO Guorong;GUO Xiaoyan;YAO Pei(Department of Anesthesiology and Surgery,the Second Affiliated Hospital of Air Force Medical University of People′s Liberation Army of China,Xi′an,Shaanxi,710000)
出处
《实用临床医药杂志》
2025年第12期100-104,共5页
Journal of Clinical Medicine in Practice
基金
陕西省重点研发计划项目(2021SF-054)。
关键词
护士驱动
多学科协作
甲状腺手术
甲状旁腺手术
疼痛管理
疼痛评分
生活质量
心理状态
nurse-driven
multidisciplinary collaboration
thyroid surgery
parathyroid surgery
pain management
pain score
quality of life
psychological state
