Analysis of the value of pain care in the care of patients undergoing spinal surgery
疼痛护理在脊柱外科手术患者护理中的应用价值分析

摘要

目的 研究分析脊柱外科手术患者护理中疼痛护理的作用，以此为护理人员改进后续工作提供一些帮助。方法 本次实验时间区间为2021年6月至2022年10月这一时间段，研究人员对80例脊柱外科手术患者进行研究。参照组及观察组所选患者的分组依据为双盲对照原则，将传统护理模式应用到参照组患者护理中去，在观察组患者护理中实施疼痛护理，记录和分析对比两组患者干预前后VAS疼痛评分、5－羟色胺指标、β内啡肽指标及神经肽Y指标、患者治疗依从性。结果 在干预前，参照组及观察组患者VAS疼痛评分之间的差异微小，（p＞0.05），两组患者干预后72小时VAS疼痛评分相比干预前大幅下降，且组间数据差异不容忽视，（p＜0.05）；参照组及观察组患者干预前5－羟色胺指标、β内啡肽指标及神经肽Y指标差异不突出，（p＞0.05），两组患者干预后疼痛指标水平下降明显，且组间对应数据存在着不容忽视的差异，（p＜0.05）；共计35例参照组患者为治疗完全依从及部分依从，治疗依从性为87.50%，共计39例观察组患者为治疗完全依从及部分依从，治疗依从性为97.50%，数据差异不容忽视，（p＜0.05）。结论 在脊柱外科手术患者护理中疼痛护理的应用效果较为理想。

Abstract

Objective To study and analyze the role of pain care in the care of patients undergoing spinal surgery, so as to provide some help for nursing staff to improve the follow-up work. METHODS: The time period of this experiment was from June 2021 to October 2022, and the researchers studied 80 patients undergoing spinal surgery. The patients in the reference group and the observation group were grouped according to the double-blind control principle. The traditional care model was applied to the care of the patients in the reference group, and pain care was implemented in the observation group.
Results: Before the intervention, the differences between the VAS pain scores of patients in the reference group and the observation group were minimal, (p>0.05), and the VAS pain scores of patients in both groups decreased significantly at 72 hours after the intervention compared with those before the intervention, and the differences between the data of the groups were not negligible, (p<0.05); the differences between the 5-hydroxytryptamine index, β-endorphin index and The differences in 5-hydroxytryptamine, β-endorphin and neuropeptide Y indicators between the reference group and the observation group before the intervention were not significant (p>0.05), but the levels of pain indicators decreased significantly after the intervention in both groups, and there was a non-negligible difference in the corresponding data between the groups (p<0.05); a total of 35 patients in the reference group were fully and partially adherent to treatment, with a treatment adherence rate of 87.50%, and a total of 39 patients in the observation group were fully and partially adherent to treatment, with a treatment adherence rate of 97.50%. The difference was not negligible, (p < 0.05).
Conclusion  : The application of pain care in the care of patients undergoing spinal surgery is ideal.