综合护理干预对自发性蛛网膜下腔出血患者疼痛护理满意度影响因素的研究

发布时间：2018-01-07 07:02

本文关键词：综合护理干预对自发性蛛网膜下腔出血患者疼痛护理满意度影响因素的研究　出处：《长春中医药大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的本课题旨在通过对自发性蛛网膜下腔出血患者疼痛强度及疼痛护理满意度的调查,了解患者疼痛强度及护士给予综合护理干预后患者疼痛护理满意度,分析影响疼痛护理满意度的相关因素,为患者实施综合护理干预措施,最终达到缓解患者疼痛、减轻患者痛苦、提高患者疼痛护理满意度的目的。方法选取长春市某三级甲等综合医院神经外科80例自发性蛛网膜下腔出血非手术并伴有头痛住院患者作为研究对象,本研究采用调查问卷的形式随机抽取样本分两组,分别为对照组和研究组。患者自入院时即开始进行问卷调查,对照组给予常规护理方法,研究组给予综合护理干预方法,3-5天后再次发放调查问卷。研究工具包括患者的基本资料、国际通用的简明疼痛评估量表(BPI)、患者疼痛护理满意度量表、格拉斯哥昏迷等级评分(GCS),以上量表均有良好的信度和效度。运用SPSS16.0统计包进行统计学分析,包括描述性统计学分析(均数、标准差、百分比)、t检验、卡方检验等统计学分析方法。P0.05为无差异,P0.05为非显著性差异,P0.01为显著性差异。分析综合护理干预对自发性蛛网膜下腔出血患者疼痛护理满意度的影响,提出有效的综合护理干预方法。结果1.两组患者在年龄、性别、教育程度、婚姻状况、经济负担疾病能力、疾病种类、每次疼痛时间、药物止痛有效处置方法、非药物止痛的处置方法、吸烟史方面无差异(P0.05),两组之间具有可比性。2.给予常规护理的对照组,患者疼痛护理满意度评分整体较低,给予综合护理干预后的研究组,患者疼痛护理满意度明显高于给予常规护理的对照组患者(P0.01),采取的综合护理干预方法有效。3.疼痛护理满意度分为三个维度,包括信任关系、专业技术能力、护理人员教育关系,在这三个维度上对照组信任关系的评分最低,研究组的信任关系比对照组略有提高,在教育关系和专业技术方面改善较明显(P0.01)。结论综合护理干预方法能够有效缓解自发性蛛网膜下腔出血患者头痛的症状。有效提高患者疼痛护理满意度,本研究可为临床医护人员提供自发性蛛网膜下腔出血头痛患者综合护理干预的方法。提高优质护理服务质量,更加完善责任制护理。
[Abstract]:Objective to investigate the pain intensity and nursing satisfaction of patients with spontaneous subarachnoid hemorrhage. To analyze the related factors affecting the degree of pain nursing satisfaction, to implement comprehensive nursing intervention measures for patients, and finally to alleviate the pain of patients and alleviate the pain of patients. Methods 80 patients with spontaneous subarachnoid hemorrhage who were hospitalized with headache were selected from neurosurgery department of a Grade 3A General Hospital in Changchun. This study used the form of questionnaire to randomly select samples divided into two groups, namely the control group and the study group. The patients began to carry out questionnaire since admission, the control group was given routine nursing methods. The study group was given comprehensive nursing intervention method and the questionnaire was sent out again after 3-5 days. The research tools included the basic data of the patients and the international general brief pain assessment scale (BPI). The patients' pain nursing satisfaction scale, Glasgow coma grade scale and GCSS scale all had good reliability and validity. The statistical analysis was carried out with SPSS16.0 statistical kit. Including descriptive statistical analysis (mean, standard deviation, percentage / t test, chi-square test and other statistical analysis methods. P0.01 was the significant difference. The effect of comprehensive nursing intervention on pain nursing satisfaction of patients with spontaneous subarachnoid hemorrhage was analyzed, and an effective comprehensive nursing intervention method was put forward. Results 1.The two groups of patients were in age. 2. Gender, educational level, marital status, financial burden disease ability, disease type, time of each pain, effective treatment method of drug analgesia, non-drug treatment method of pain relief. There was no difference in smoking history between the two groups. 2. The patients' pain nursing satisfaction score was lower in the control group given routine nursing, and the study group after comprehensive nursing intervention. The patients' pain nursing satisfaction was significantly higher than that of the control group, and the comprehensive nursing intervention method was effective. 3. The pain nursing satisfaction was divided into three dimensions, including trust relationship. Professional and technical ability, nursing staff education relationship, control group in these three dimensions of the lowest score of trust relationship, the study group than the control group slightly improved the trust relationship. Significant improvement in educational relations and professional skills (P0.01). Conclusion Comprehensive nursing intervention can effectively relieve the symptoms of headache in patients with spontaneous subarachnoid hemorrhage and improve the patients' satisfaction with pain nursing. This study can provide the comprehensive nursing intervention method for the patients with spontaneous subarachnoid hemorrhage headache, improve the quality of nursing service and perfect the responsibility nursing.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R473.74

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