摘要
目的探讨个体化疼痛护理对缓解急诊肾结石患者疼痛的效果。方法随机选取2019年8月—2021年8月福建医科大学附属三明第一医院收治的50例急诊肾结石患者为研究对象,随机分为对照组与研究组,各25例。对照组实施常规护理,研究组则实施个体化疼痛护理,观察两组疼痛度、疼痛应激反应、负面情绪、睡眠质量、护理舒适度及护理满意度。结果研究组护理1、2 d后疼痛评分(3.31±1.13)分、(1.13±0.44)分低于对照组,差异有统计学意义(t=4.620、7.727,P<0.05)。护理后,研究组的收缩压(129.7±11.4)mmHg、舒张压(81.7±7.6)mmHg、心率(76.4±8.8)次/min等应激反应明显轻于对照组,差异有统计学意义(t=2.361、2.951、4.390,P<0.05)。研究组护理后的SAS评分(34.62±3.70)分、SDS评分(34.42±3.95)分、PSQI评分(9.99±0.24)分明显低于对照组,差异有统计学意义(t=7.391、8.477、6.512,P<0.05)。研究组护理态度(22.6±1.5)分、护理专业性(22.1±0.7)分、人性化护理(23.2±0.8)分、护理效果(23.0±0.5)分均明显高于对照组,差异有统计学意义(t=5.098、3.388、14.740、14.483,P<0.05)。结论对急诊肾结石患者实施个体化疼痛护理,有利于减轻疼痛感,减少因疼痛引起的应激反应,改善心理状态及睡眠质量,提高护理舒适度及满意度,值得临床应用。
Objective To discuss the effect of individualized pain care on pain relief in emergency patients with kidney stones.Methods A total of 50 patients with emergency kidney stones admitted to Sanming First Hospital Affiliated to Fujian Medical University from August 2019 to August 2021 were randomly selected as the research objects,and they were randomly divided into a control group and a study group,with 25 cases in each group.The control group was given routine care,while the study group was given individualized pain care.The pain degree,pain stress response,negative emotion,sleep quality,nursing comfort and nursing satisfaction were observed in the two groups.Results The pain scores of the study group after 1 d and 2 d of nursing were(3.31±1.13)points and(1.13±0.44)points lower than those of the control group,and the differenceswerestatisticallysignificant(t=4.620,7.727,P<0.05).After nursing,the systolic blood pressure(129.7±11.4)mmHg,diastolic blood pressure(81.7±7.6)mmHg,heart rate(76.4±8.8)times/min and other stress reactions in the study group were significantly lighter than those in the control group,and the difference was statistically significant(t=2.361,2.951,4.390,P<0.05).After nursing,the SAS score(34.62±3.70)points,SDS score(34.42±3.95)points and PSQI score(9.99±0.24)points of the study group were significantly lower than those of the control group,and the differences were statistically significant(t=7.391,8.477,6.512,P<0.05).Nursing attitude(22.6±1.5)points,nursing professionalism(22.1±0.7)points,humanized nursing(23.2±0.8)points,and nursing effect(23.0±0.5)points in the study group were significantly higher than those in the control group,and the differences were statistically significant(t=5.098,3.388,14.740,14.483,P<0.05).Conclusion Implementing individualized pain care for emergency nephrolithiasis patients can effectively relieve pain,reduce stress caused by pain,improve psychological state and sleep quality,and improve nursing comfort and satisfaction,which is worthy of clinical application.
作者
黄贞
肖秋凤
HUANG Zhen;XIAO Qiufeng(Department of Nuclear Medicine,Sanming First Hospital Affiliated to Fujian Medical University,Sanming,Fujian Province,365000 China;The Second Division of Digestion,Sanming First Hospital Affiliated to Fujian Medical University,Sanming,Fujian Province,365000 China)
出处
《中外医疗》
2022年第17期118-122,共5页
China & Foreign Medical Treatment
关键词
急诊肾结石
个体化疼痛护理
心理
满意度
舒适度
睡眠
Emergency kidney stones
Individualized pain care
Psychology
Satisfaction
Comfort
Sleep
