78例耳鼻喉科术后并发疼痛的护理干预.docVIP

78例耳鼻喉科术后并发疼痛的护理干预[摘要] 目的 探讨耳鼻喉科术后并发疼痛的护理干预方法及应用效果。 方法 选取本院收治的78例耳鼻喉科手术患者，随机分为对照组和观察组各39例，对照组采用常规护理，观察组在常规护理的基础上进行针对性的护理干预，比较两组患者护理后的疼痛程度、焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分。 结果 按照护理干预措施处理后，观察组患者轻度疼痛人数显著多于对照组患者，中度疼痛和重度疼痛的人数显著少于对照组。两组患者在护理干预前后均存在焦虑、抑郁症状，经护理治疗后，两组SAS、SDS评分均下降，但观察组评分的下降程度显著高于对照组。 结论 给予患者针对性的护理干预，对于耳鼻喉科术后并发疼痛患者的疼痛症状缓解具有重要意义。[关键词] 耳鼻喉；并发疼痛；护理干预[中图分类号] R473.76 [文献标识码] B [文章编号] 2095-0616（2015）01-153-03[Abstract] Objective To investigate the nursing intervention methods and effect in patients of ENT complicated with postoperative pain. Methods 78 patients were selected in department of ENT admitted to our hospital， randomly divided into control group and observation group with 39 cases in each， the control group with routine nursing， the observation group on the basis of routine nursing was added targeted nursing intervention， compared two groups of patients after the pain nursing degree， Self rating Anxiety Scale（SAS） score， Self rating Depression Scale（SDS） score and the satisfaction degree of nursing. Results After the treatment， the number of mild pain patients in the observation group were significantly more than the control group patients； moderate pain and severe pain in the number was significantly less than that of the control group. During the nursing period， two groups of patients both had anxiety， depressive symptoms. But after treatment， two groups of SAS， SDS scores were decreased， and the observation group decreased degree score was higher than that of control group. Conclusion Giving the patients complicated with symptoms of pain targeted nursing intervention has important significance in pain relief.[Key words] Ent； Complicated pain； Nursing intervention疼痛是一种复杂的生理心理活动，包括伤害性刺激作用于机体所引起的痛觉和机体对伤害性刺激的痛感反应[1]。一般情况下，患者在手术后24～72h内均会有不同程度的疼痛感，且疼痛程度的表现与患者手术切口大小、手术部位、患者体质、鼻腔填塞、患者姿势及心理等因素相关[2]。耳鼻喉科手术部位比较特殊，其术后并发疼痛对患者的饮食、呼吸及睡眠影响较大，不利于患者病情的好转。因此护理人员应该高度重视患者术后并发疼痛的全方位、高质量的针对性护理干预，以减轻患者疼痛，加快康复进程。本院在对部分耳鼻喉科术后并发疼痛患者给予常规护理的基础上，还进行了全方位的针对型护理，极大地缓解了患者的痛苦，取得了良好的效果，现报道如下