目的 分析活动性疼痛评估的针对性护理对肝癌术后患者疼痛、睡眠及术后恢复的影响。方法 选取行肝癌介入手术治疗的肝癌患者68例,采取随机数字表法分成两组,对照组(n=34)应用活动性疼痛评估及常规护理,观察组(n=34)在此基础上,应用针对性护理,比较两组患者术后疼痛、睡眠、首次下床时间、手术时间及感染水平。结果 观察组患者静息性疼痛程度、活动性疼痛程度评分均低于对照组,差异有统计学意义(P＜0.05)。两组患者护理后的睡眠质量评分低于护理前,且观察组低于对照组,差异有统计学意义(P＜0.05)。观察组患者首次下床时间短于对照组,差异有统计学意义(P＜0.05)。观察组总感染率2.94%,对照组总感染率14.71%,观察组患者总感染率低于对照组,差异有统计学意义(P＜0.05)。结论 基于活动性疼痛评估的针对性护理可有效降低患者疼痛程度,提高睡眠质量,并且加快术后恢复,是一种有效的临床护理方法。

Objective To analyze the effects of targeted nursing on pain, sleep, and recovery of patients with hepatocellular carcinoma after operation through active pain assessment.Methods Sixty-eight patients with hepatocellular carcinoma who underwent surgical treatment in our hospital were selected and randomly divided into two groups using random number table.The control group (n=34) was treated with routine nursing and assessed by active pain assessment.The observation group (n=34) was additionally treated with targeted nursing.Their postoperative pain, sleep, off-bed time, operation time, and infection were compared.Results The scores of resting pain and active pain of the observation group were lower than those of the control group (P<0.05).The sleep quality scores of the two groups after nursing were lower than those before nursing, and the score of the observation group was lower than that of the control group (P<0.05).The first off-bed time of the observation group was shorter than that in the control group (P<0.05).The total infection rate of the observation group was 2.94%, lower than that of the control group (14.71%) (P<0.05).Conclusion Targeted nursing based on active pain assessment is an effective clinical nursing method because it can effectively reduce pain, improve sleep quality, and speed up recovery of patients.