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目的探讨综合干预降低开胸手术后疼痛及压力源的相关性。方法对160例开胸手术患者入院当日即采用自行设计的开胸手术患者术前心理压力来源调查表进行调查测评,同时应用焦虑自评量表(SAS)测评后对照组常规护理,干预组常规护理+综合护理干预。手术前1日晨完成第2次SAS测定,手术后第1、3、5天晨完成“长海痛尺”评估测定,就患者压力来源、焦虑情绪和疼痛的关系进行相关性分析。结果开胸手术患者存在较严重的压力源,两组患者入院当日内焦虑无显著差异(u=0.218,P=0.827),术前1日晨焦虑有显著差异(u=6.597,P=0.000),两组患者术后第1、3、5天疼痛评分有显著差异(P<0.01)。结论患者术后疼痛与焦虑情绪关系密切,焦虑越重疼痛反应越明显,综合护理干预能缓解患者的焦虑心理,提高痛阈、减轻疼痛。
Objective To investigate the effect of comprehensive intervention on reducing the pain and pressure source after thoracotomy. Methods A total of 160 patients undergoing thoracotomy were enrolled on the day of admission. The self-designed thoracic surgery patients’ psychological pressure source questionnaire was used to investigate and evaluate. At the same time, the control group’s routine nursing and intervention group’s routine nursing Nursing + Comprehensive Nursing Intervention The first SAS test was completed on the morning of the first day of operation. The first, third and fifth day after operation was completed and the “Changhai pain scale” was evaluated. The correlation between stress source, anxiety and pain was analyzed. Results Thoracotomy patients had more severe stressors. There was no significant difference in anxiety between the two groups on the day of admission (u = 0.218, P = 0.827). There was a significant difference in morning anxiety before operation (u = 6.597, P = 0.000) The pain scores of the two groups were significantly different on the 1st, 3rd and 5th day after operation (P <0.01). Conclusion The postoperative pain and anxiety are closely related. The more the anxiety is, the more the pain reaction is. The comprehensive nursing intervention can relieve the anxiety, improve the pain threshold and relieve the pain.