护理干预对颌面外科手术患者围术期焦虑及疼痛程度影响价值评估.docVIP

护理干预对颌面外科手术患者围术期焦虑及疼痛程度影响价值评估 　　【摘要】 目的 观察探究护理干预对颌面外科手术患者围术期焦虑及疼痛程度的影响。方法 90例 　　颌面外科手术患者， 按照随机分配的方式将其分为对照组与观察组， 每组45例。对照组患者给予常规的护理方式， 观察组患者在对照组的基础上再增加特殊护理进行干预。对比两组患者的干预效果。 　　结果 手术前两组焦虑自评量表（SAS）评分比较差异无统计学意义（P0.05）；手术后观察组SAS评分（40.46±2.14）分低于对照组（45.68±2.45）分， 差异具有统计学意义（P0.05）；干预第5、10天， 观察组NRS评分（5.15±0.39）、（2.97±0.88）分均低于对照组（5.46±0.87）、（3.94±0.22）分， 差异均具有统计学意义（P0.05）。结论 在颌面外科手术患者的围术期给予护理干预， 能使患者的焦虑情绪和疼痛感觉得到有效的缓解， 更有益于术后患者的恢复， 值得在临床上广泛推广。 　　【关键词】 护理干预；颌面外科手术；焦虑；疼痛 　　DOI：10.14163/j.cnki.11-5547/r.2017.32.083 　　Impact value assessment of nursing intervention on perioperative anxiety and pain in patients undergoing maxillofacial surgery WANG Li， LYU Xiao-qiang. Department of Maxillofacial Surgery， First Affiliated Hospital of Chongqing Medical University， Chongqing 400000， China 　　【Abstract】 Objective To observe and investigate the effect of nursing intervention on perioperative anxiety and pain in patients undergoing maxillofacial surgery. Methods A total of 90 patients undergoing maxillofacial surgery were randomly divided into control group and observation group， with 45 cases in each group. The control group received conventional nursing， and the observation group received special nursing intervention on the basis of the control group. The intervention effect in two groups was compared. Results Before operation， both groups had no statistically significant difference in self-rating anxiety scale （SAS） score （P0.05）. After operation， the observation group had lower SAS score as （40.46±2.14） points than （45.68±2.45） points in the control group， and their difference was statistically significant （P0.05）. At 5th and 10th day of intervention， the observation group had lower NRS score as （5.15±0.39） and （2.97±0.88） points than （5.46±0.87） and （3.94±0.22） points in the control group， and their difference was statistically significant （P0.05）. Conclusion Perioperative nursing intervention for patients undergoing maxillofacial surgery can effectively relive anxiety and p