日间无痛病房护理在肿瘤患者中的应用.docVIP

日间无痛病房护理在肿瘤患者中的应用 　　[摘要] 目的 对比传统护理与无痛护理后患者的疼痛情况，探讨无痛护理的临床可实施性。 方法 将本院收治的216例肿瘤患者依据抽签的方式分为观察组与对照组，其中观察组110例给予日间无痛护理，对照组106例给予传统护理；对比两组护理前后疼痛情况与护理满意度。 结果 两组患者护理前疼痛评分比较差异无统计学意义（P0.05），两组患者护理后疼痛明显缓解，且观察组缓解程度更显著，差异有统计学意义（P0.05）；观察组护理总满意度为93.64%，明显高于对照组的83.02%，差异有统计学意义（P0.05）。 结论 将科学正确的疼痛评估方法与镇痛方式应用于肿瘤患者的护理，可有效缓解其疼痛与提高其生活质量。 　　[关键词] 肿瘤；无痛病房；日间护理 　　[中图分类号] R473.5 [文献标识码] B [文章编号] 1674-4721（2013）11（b）-0130-02 　　The application of daytime painless ward nursing in tumor patients 　　CAO Li-hua 　　Department of Oncology，the Third People′s Hospital of Jiujiang City in Jiangxi Province，Jiujiang 332000，China 　　[Abstract] Objective To compare with the traditional nursing care and painless nursing of patients with pain，to investigate the clinical analgesia nursing can be implemented.Methods 216 cases of tumor patients in our hospital were based on lottery divided into observation group and control group，110 cases of observation group were given daily painless nursing，106 cases in control group were given traditional nursing.The pain and nursing satisfaction in two groups before and after nursing were compared.Results Pain scores of two groups nursing before had no significant difference（P0.05）.The pain of two groups after nursing was relieved，and the relief of pain of observation group was significantly higher than that of control group，with statistical difference（P0.05）.The satisfaction of observation group（93.64%） was significantly higher than that of control group（83.02%），with statistical difference（P0.05）.Conclusion The correct and scientific assessment of pain andanalgesia methods were applied in nursing of tumor patients，it can effectively relieve the pain and improve the quality of life. 　　[Key words] Tumor；Painless ward；Day care 　　世界卫生组织在1998年提出，缓解疼痛是每个患者的权利[1]。疼痛当前已被美国医疗机构联合委员会列为第五大生命体征，因此，注重对患者疼痛的缓解是医护人员临床工作的重点。癌性疼痛是疼痛部位需要修复或调节的信息传到神经中枢后引起的感觉，是造成癌症晚期患者主要痛苦的原因之一[2]。世界卫生组织曾指出，全世界每年有≥550万人遭受癌症病痛的折磨，其中1/2的中期患者并发疼痛，晚期患者并发疼痛70%。如何有效缓解肿瘤患者的疼痛，提高临床护理的质量，显得尤为重要。本院对收治的216