张利, 巫娜, 廖娟, 张翼. 无痛关爱病房规范化管理在胃癌手术后疼痛控制中的应用[J]. 蚌埠医学院学报, 2019, 44(8): 1115-1117, 1122. DOI: 10.13898/j.cnki.issn.1000-2200.2019.08.038
    引用本文: 张利, 巫娜, 廖娟, 张翼. 无痛关爱病房规范化管理在胃癌手术后疼痛控制中的应用[J]. 蚌埠医学院学报, 2019, 44(8): 1115-1117, 1122. DOI: 10.13898/j.cnki.issn.1000-2200.2019.08.038
    ZHANG Li, WU Na, LIAO Juan, ZHANG Yi. The application effect of standardized management of painless care ward in postoperative pain control in patients with gastric cancer[J]. Journal of Bengbu Medical College, 2019, 44(8): 1115-1117, 1122. DOI: 10.13898/j.cnki.issn.1000-2200.2019.08.038
    Citation: ZHANG Li, WU Na, LIAO Juan, ZHANG Yi. The application effect of standardized management of painless care ward in postoperative pain control in patients with gastric cancer[J]. Journal of Bengbu Medical College, 2019, 44(8): 1115-1117, 1122. DOI: 10.13898/j.cnki.issn.1000-2200.2019.08.038

    无痛关爱病房规范化管理在胃癌手术后疼痛控制中的应用

    The application effect of standardized management of painless care ward in postoperative pain control in patients with gastric cancer

    • 摘要:
      目的观察无痛关爱病房规范化管理对胃癌病人术后疼痛控制的效果。
      方法纳入行手术治疗的胃癌病人67例,按照随机数字表法分为观察组34例和对照组33例。观察组病人围手术期进行新型疼痛管理,即无痛关爱病房规范化管理,对照组病人术后进行传统镇痛模式,比较2组相关临床指标。
      结果2组均无死亡病例,观察组术后3 h、1 d、2 d疼痛评分均明显低于对照组(P < 0.01),术后当天和术后1 d、2 d夜间睡眠时间均长于对照组(P < 0.05~P < 0.01),首次下床时间、首次肛门排气时间和住院时间均少于对照组(P < 0.05)。2组进食时间、术后并发症发生率和住院总费用差异均无统计学意义(P>0.05)。观察组术后疼痛控制满意度为82.3%,高于对照组的57.6%(P < 0.05)。
      结论无痛关爱病房规范化管理能降低胃癌术后病人疼痛程度,延长病人睡眠时间,缩短肛门排气时间,提高病人住院期间满意度,值得在临床推广应用。

       

      Abstract:
      ObjectiveTo observe the application effects of standardized management of painless care ward on postoperative pain control in patients with gastric cancer.
      MethodsSixty-seven gastric cancer patients treated with operation were divided into the observation group(34 cases) and control group(33 cases) according to random digital table method.The observation group were nursed with a new type of pain management(namely the standardized management of painless care) during perioperative period, and the traditional analgesic mode was performed in control group.The related clinical indexes were compared between two groups.
      ResultsThere was not death in both groups, and the pain scores in observation group after 3 h, 1 d and 2 d of surgery were significantly lower than those in control group(P < 0.01), the time of night sleep in observation group after 0 d, 1 d and 2 d of operation were longer than that in control group(P < 0.05 to P < 0.01).The time of the first time out of bed and anus exhaust, and hospitalization days in observation group were less than those in control group(P < 0.05).The differences of the feeding time, incidence of postoperative complications, and total hospitalization costs were not statistically significant(P < 0.05).The satisfaction degree of the postoperative pain(82.3%) in observation group was higher than that in control group(57.6%)(P < 0.05).
      ConclusionsThe standardized management of painless care ward can reduce the postoperative pain degree, prolong the sleep time, shorten the time of anus exhaust, and improve the satisfaction degree during hospitalization of patients with gastric cancer.It is worthy of application in clinic.

       

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