个性化疼痛护理在肿瘤介入术后疼痛中的应用研究(1)
[摘要] 目的 为肿瘤介入术后疼痛患者实施个性化疼痛护理，分析其效果。方法 随机选择该院在2014年2月—2017年2月期间收治的50例肿瘤介入术患者实施研究，将其分为常规组和个性组，每组25例。为常规组患者实施常规护理措施开展护理工作，个性组患者联合运用常规护理措施及个性化疼痛护理。对两组患者护理前和护理后VDS评分、VAS评分、护理满意度结果进行比较。结果 个性组患者和常规组患者护理前VDS评分[(4.7±1.8)分 vs (4.8±1.9)分]和VAS评分[(5.7±2.4)分 vs(5.5±2.2)分]相当，差异无统计学意义(P>0.05)；护理后，个性组患者VDS评分明显低于常规组患者[(1.8±1.2)分 vs (3.5±0.9)分]，差异有统计学意义(P<0.05)；护理后，个性组患者VAS评分显著低于常规组患者[(2.1±1.8)分 vs (3.9±2.6)分]，差异有统计学意义(P<0.05)；个性组患者护理满意度(96.0%)明显高于常规组患者(64.0%)，两组患者护理满意度数据对比，差异有统计学意义(P<0.05)。结论 为肿瘤介入术患者运用个性化疼痛护理，能够获得显著的效果，不仅可以对患者疼痛感进行缓解，还可以将患者护理满意度进行提高。
[关键词] 肿瘤介入术；疼痛；个性化护理；常规护理；满意度
[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742(2018)01(b)-0148-04
[Abstract] Objective To implement the application of individual pains nursing in the pains after the tumor intervention surgery and analyze its effect. Methods 50 cases of patients with tumor intervention surgery admitted and treated in our hospital from February 2014 to February 2017 were randomly selected and divided into two groups with 25 cases in each， the routine group applied the routine nursing measures for nursing， while the individual group applied the individual pain nursing on the basis of the routine nursing， and the VDS score， VAS score and nursing satisfactory degree of the two groups before and after nursing were compared. Results The differences in the VDS score and VAS score between the individual group and the routine group were not statistically significant， [(4.7±1.8)points vs (4.8±1.9)points]， [(5.7±2.4)points vs (5.5±2.2)points]，difference are statisticaly significant(P>0.05)； After nursing， the VDS score in the individual group was obviously lower than that in the routine group [(1.8±1.2)points vs(3.5±0.9)points]，difference are statisticaly significant(P<0.05)； after nursing， the VAS score in the individual group was obviously higher than that in the routine group， [(2.1±1.8)points vs (3.9±2.6)points]，difference are statisticaly significant(P<0.05)， and the nursing satisfactory degree in the individual group was obviously higher than that in the routine group，(96.0% vs 64.0%)， and the difference in the nursing satisfactory degree between the two groups was obvious(P<0.05). Conclusion The application effect of individual pains nursing of patients with tumor intervention surgery is obvious， which can not only relieve the pains but also improve the nursing satisfactory degree.
[Key words] Tumor intervention surgery； Pains； Individual nursing； Routine nursing； Satisfactory degree
腫瘤患者的心理压力很大，需要承担心理和生理双重压力。据WHO统计，全球每年至少有500万癌症患者在遭受疼痛的折磨。疼痛是第五生命体征，需要持续关注。在疼痛的折磨下，温驯的人变得暴躁、坚强的人变得懦弱、优雅的人变得歇斯底里。癌痛治疗的不足会进一步加重身体和心理负担，造成患者厌食、失眠、认知能力下降、丧失行为能力、疲劳、生活质量下降、应对和调整能力受影响、生活交往减少、心理困扰等。介入手术中需要运用抗癌类药物，通过中断机体血液供应系统，避免患者肿瘤组织进一步增加和扩大[1]。所以，虽然肿瘤临床治疗中，介入手术具有操作性强和可行性高的优点。但患者疼痛感十分剧烈，甚至严重影响到了患者的工作和生活，所以，临床中多主张为患者运用行之有效的护理干预[2]。有研究[3]认为，将个性化疼痛护理运用到肿瘤介入手术患者护理工作中能够有效缓解患者的疼痛感，尽早控制疼痛。为了证实这一结论，该研究随机选择该院在2014年2月—2017年2月期间收治的50例肿瘤介入手术患者，分别实施了个性化护理与常规护理，探讨了个性化护理的效果，现报道如下。, http://www.100md.com(杨芝)
[关键词] 肿瘤介入术；疼痛；个性化护理；常规护理；满意度
[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742(2018)01(b)-0148-04
[Abstract] Objective To implement the application of individual pains nursing in the pains after the tumor intervention surgery and analyze its effect. Methods 50 cases of patients with tumor intervention surgery admitted and treated in our hospital from February 2014 to February 2017 were randomly selected and divided into two groups with 25 cases in each， the routine group applied the routine nursing measures for nursing， while the individual group applied the individual pain nursing on the basis of the routine nursing， and the VDS score， VAS score and nursing satisfactory degree of the two groups before and after nursing were compared. Results The differences in the VDS score and VAS score between the individual group and the routine group were not statistically significant， [(4.7±1.8)points vs (4.8±1.9)points]， [(5.7±2.4)points vs (5.5±2.2)points]，difference are statisticaly significant(P>0.05)； After nursing， the VDS score in the individual group was obviously lower than that in the routine group [(1.8±1.2)points vs(3.5±0.9)points]，difference are statisticaly significant(P<0.05)； after nursing， the VAS score in the individual group was obviously higher than that in the routine group， [(2.1±1.8)points vs (3.9±2.6)points]，difference are statisticaly significant(P<0.05)， and the nursing satisfactory degree in the individual group was obviously higher than that in the routine group，(96.0% vs 64.0%)， and the difference in the nursing satisfactory degree between the two groups was obvious(P<0.05). Conclusion The application effect of individual pains nursing of patients with tumor intervention surgery is obvious， which can not only relieve the pains but also improve the nursing satisfactory degree.
[Key words] Tumor intervention surgery； Pains； Individual nursing； Routine nursing； Satisfactory degree
腫瘤患者的心理压力很大，需要承担心理和生理双重压力。据WHO统计，全球每年至少有500万癌症患者在遭受疼痛的折磨。疼痛是第五生命体征，需要持续关注。在疼痛的折磨下，温驯的人变得暴躁、坚强的人变得懦弱、优雅的人变得歇斯底里。癌痛治疗的不足会进一步加重身体和心理负担，造成患者厌食、失眠、认知能力下降、丧失行为能力、疲劳、生活质量下降、应对和调整能力受影响、生活交往减少、心理困扰等。介入手术中需要运用抗癌类药物，通过中断机体血液供应系统，避免患者肿瘤组织进一步增加和扩大[1]。所以，虽然肿瘤临床治疗中，介入手术具有操作性强和可行性高的优点。但患者疼痛感十分剧烈，甚至严重影响到了患者的工作和生活，所以，临床中多主张为患者运用行之有效的护理干预[2]。有研究[3]认为，将个性化疼痛护理运用到肿瘤介入手术患者护理工作中能够有效缓解患者的疼痛感，尽早控制疼痛。为了证实这一结论，该研究随机选择该院在2014年2月—2017年2月期间收治的50例肿瘤介入手术患者，分别实施了个性化护理与常规护理，探讨了个性化护理的效果，现报道如下。, http://www.100md.com(杨芝)