目的 探讨疼痛护理干预对改善神经外科颅脑外伤患者生活质量的效果。方法 将2018年1月—2020年6月收治的90例颅脑外伤患者随机分为两组,每组各45例,对照组施行常规护理,观察组在常规护理基础上实施疼痛护理。比较两组的术后疼痛评分、术后舒适度评分、不良情绪评分、生活质量评分。结果 术后12~48 h,疼痛评分在观察组中均低于对照组(P<0.05),舒适度评分在观察组中均高于对照组(P<0.05)。护理后,焦虑评分、抑郁评分在观察组中均低于对照组(P<0.05),生活质量评分在观察组中高于对照组(P<0.05)。结论 疼痛护理在神经外科颅脑外伤患者中应用,可减轻患者术后疼痛感,提高术后舒适度,改善心理状况,对其生活质量可起到提高作用。
Objective To explore the effect of pain nursing intervention on improving the quality of life of patients with craniocerebral trauma in neurosurgery department. Methods From January 2018 to March 2020, 90 cases of patients with craniocerebral trauma were randomly divided into two groups, with 45 cases in each group. The control group received routine nursing, and the observation group received pain nursing on the basis of routine nursing. The scores of pain, comfort, bad mood, and life quality were compared between the two groups. Results At 12-48 h after operation, the pain score in the observation group was lower than that in the control group (P<0.05), and the comfort score in the observation group was higher than that in the control group (P<0.05). After nursing, the scores of anxiety and depression in the observation group were lower than those in the control group (P<0.05), and the score of life quality in the observation group was higher than that in the control group (P<0.05). Conclusion The application of pain nursing in patients with craniocerebral trauma in neurosurgery department can reduce postoperative pain, improve postoperative comfort, improve psychological status, and improve their quality of life.
[1] 王洋,张琳琳.个性化康复方案联合网络途径对颅脑外伤术后运动障碍患者功能恢复的影响[J].中华现代护理杂志,2016,22(3):356-359.
[2] 杨向丽,王毅,陈旭义,等.中重度颅脑外伤睡眠障碍伴发焦虑、抑郁及疼痛的临床分析[J].重庆医学,2016,45(6):721-723,726.
[3] 朱丽霞,高凤莉,罗虹辉,等.舒适状况量表的信效度测试研究[J].中国实用护理杂志,2006,22(13):57-59.
[4] 段泉泉,胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志,2012,26(9):676-679.
[5] 都元涛,方积乾.世界卫生组织生存质量测定量表中文版介绍及其使用说明[J].现代康复,2000,4(8):1127-1129,1145.
[6] 张宁. 集束化护理对老年重症颅脑损伤患者下肢深静脉血栓形成及肢体运动功能恢复的影响[J].实用临床医学,2019,20(5):69-70,102.
[7] 王曙娟. 颅脑外伤开颅术后早期系统康复训练护理成效[J].中外医疗,2019,38(25):160-163.
[8] 金薇薇,肖莹,侯俊玲,等.针对性护理在颅脑损伤去骨瓣减压术后行颅骨缺损修补术患者中的应用[J].中华现代护理杂志,2019,25(28):3641-3645.
[9] 管亚妹. 疼痛管理在颅脑外伤急救患者护理中的应用效果[J].中国实用神经疾病杂志,2015,18(18):128-129.
[10] 曹秋月,王琴.疼痛护理干预对改善颅脑损伤患者睡眠质量的效果评价[J].世界睡眠医学杂志,2019,6(5):629-630.