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针对性心理护理对减轻耳鼻喉部手术患者术后疼痛程度的效果

作者:蔡红艳 彭桂嫦 唐 超

所属单位:南方医科大学附属小榄医院耳鼻喉口腔科 (广东 中山 528415)

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摘要

目的 分析研究针对性心理护理对减轻耳鼻喉部手术患者术后疼痛程度的临床效果。方法 选择2016年1月至2017年 10月在我院进行耳鼻喉部手术治疗的100例,收集其患者的临床资料采用随机法分为实验组和对照组两组,每组各 50例,对照组患者采取常规护理的方法,实验组患者在采用常规护理的基础上进行心理护理干预,对照分析两组患 者术后发生疼痛程度、疼痛发生的机率和使用镇痛药的比例。结果 实验组患者与对照组患者相比,实验组术后疼 痛总发生率为16%,对照组术后疼痛总发生率为34%,实验组的术后发生的疼痛率较低,疼痛程度较轻,两者间的比 较差异具有统计学意义(P<0.05)。结论 对实行耳鼻喉部手术的治疗患者进行有针对性的心理护理可以缓解患者术 前和术后的不良情绪,减轻术后发生疼痛的机率和程度,因此心理护理干预的方法可以在临床上广泛使用和推广。

Objective To analyze the clinical effect of targeted psychological nursing on reducing postoperative pain in patients with ENT surgery. Methods 100 cases of otolaryngology surgery were performed in our hospital from January 2016 to October 2017. The clinical data of the patients were collected and randomly divided into experimental group and control group, with 50 cases in each group. The patients in the control group were treated with routine nursing. The patients in the experimental group underwent psychological nursing intervention on the basis of routine nursing. The degree of pain, the incidence of pain and the proportion of analgesics were compared between the two groups. Results Compared with the control group, the total incidence of postoperative pain in the experimental group was 16%. The total postoperative pain rate in the experimental group was 34%. The postoperative pain rate in the experimental group was lower. Lighter, the difference between the two was statistically significant (P<0.05). Conclusion Targeted psychological care for patients undergoing ENT surgery can alleviate the pre-and post-operative adverse emotions and reduce the chance and extent of postoperative pain. Therefore, the psychological nursing intervention method can be clinically Widely used and promoted.

【关键词】心理护理;耳鼻喉手术;术后疼痛程度;临床效果

【中图分类号】R762;R619+9

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2019.03.028

前言

在科学技术飞速发展的当代,手术已成为治疗疾 病的常见手段,手术治疗可以提高疾病的治疗效果, 减轻患者因疾病所受的痛苦折磨,但手术治疗会令患 者产生一定程度的生理和心理应激反应。耳鼻喉手术 虽然是较小的手术,但手术部位接近于人体的大脑, 术后的疼痛会对大脑或大脑内的神经系统乃至全身器 官造成一定的影响,从而影响术后的治疗效果。所以 为了缓解患者的不良情绪,提高手术的总体治疗效 果,在耳鼻喉手术开展前、后对患者实施针对性的心 理护理是十分必要的。现根据我院收治的100例患者 临床资料对其必要性进行分析与讨论。