80例泌尿外科术后自控镇痛泵的护理体会

发布时间：2018-02-04 21:27

本文关键词： 自控镇痛泵护理泌尿外科术后影响　出处：《基因组学与应用生物学》2017年08期 　论文类型：期刊论文

【摘要】：为探讨护士对泌尿外科手术后患者实施病人自控镇痛(patient-controlled analgesia,PCA)治疗过程中提供全面护理干预的影响,本研究将我院2014年2月至2016年2月间收治的80例泌尿外科术后患者,按照手术先后顺序划分为对照组(40例)与干预组(40例),其中对照组患者接受PCA期间常规护理措施,干预组重点进行全面镇痛干预措施。我们通过综合考虑患者满意度,患者对临床护理质量的评价及其使用镇痛泵后并发症出现情况及疼痛缓解程度等情况,对PCA治疗过程中护士提供全面护理干预的影响进行了分析。研究显示,对照组患者满意度为77.5%,干预组为95%,干预组明显高于对照组(p0.05);对照组患者在临床镇痛泵使用指导、并发症预防、病情监测及镇痛护理等方面评分均低于干预组(p0.05);对照组并发症发生率为15%,干预组为5%,干预组低于对照组(p0.05);且对照组患者疼痛缓解度为70%,干预组为90%,干预组缓解较好(p0.05),说明大部分泌尿外科患者在接受了自控镇痛泵的整体护理后对于服务表示满意,且对护理质量评价较高,并发症发生率较低,主诉疼痛改善较好。我们的研究为改善泌尿外科患者的术后护理和治疗提供了一定的临床依据。
[Abstract]:To investigate patient-controlled analgesia for patient-controlled analgesia by nurses after urological surgery. The effect of comprehensive nursing intervention during the treatment of PCA was studied. 80 cases of urologic surgery patients were treated from February 2014 to February 2016 in our hospital. The patients in the control group were divided into control group (n = 40) and intervention group (n = 40) according to the order of operation. The patients in the control group received routine nursing measures during PCA. The intervention group focused on comprehensive analgesic intervention. We considered the patient satisfaction, the evaluation of clinical nursing quality and the occurrence of complications and pain relief after the use of analgesic pump. The effect of nurses providing comprehensive nursing intervention in the course of PCA treatment was analyzed. The results showed that the satisfaction degree of patients in the control group was 77.5 and that in the intervention group was 95%. The intervention group was significantly higher than the control group (P 0.05). The scores of clinical analgesic pump use guidance, complication prevention, condition monitoring and analgesic nursing in the control group were lower than those in the intervention group (P 0.05). The incidence of complications in the control group was 15%, in the intervention group 5%, and in the intervention group was lower than that in the control group (P 0.05). The pain relief degree of the control group was 70 and that of the intervention group was 90. The relief of pain in the intervention group was better than that in the control group (P 0.05). The results showed that the majority of urological patients were satisfied with the service after receiving the whole nursing of the patient controlled analgesia pump, and the quality of nursing was evaluated higher, and the incidence of complications was lower. Our study provides a clinical basis for the improvement of postoperative nursing and treatment of urological patients.
【作者单位】：河北省衡水市哈励逊国际和平医院泌尿外科;
【基金】：河北省衡水市科技局(14011A)资助
【分类号】：R473.6
【正文快照】： *通讯作者,3540473243@qq.comNursing Experience of Patient Controlled Analgesia Pump in 80 Cases inDepartment of UrologyLv Xuexin*Department of Urology,Halison International Peace Hospital,Hengshui,053000*Corresponding author,3540473243@qq.com世界卫生组织(

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