摘要
目的：探究肝胆胰外科手术后患者疼痛的护理措施。方法：选取于我院肝胆胰外科接受治疗的58例肝胆胰疾病患者作为本次实验的研究对象，按照数字随机法将患者随机分配为对照组和研究组，每组随机分配29例患者，其中前者使用常规护理，后者使用综合疼痛管理护理干预，并在护理后对比两组患者的VAS疼痛评分和生活质量评分。结果：研究组6h、12h、24h VAS评分分别为（4.23±1.14）分、（3.45±0.88）分、（2.39±0.66）分；对照组分别为（5.48±1.67）分、（4.35±1.14）分、（3.26±0.99）分；研究组不同时间段VAS评分显著低于对照组，（P＜0.05）。其次，两组患者在护理前，其生活质量评分无显著差异，（P＞0.05），而在护理干预后，研究组为（89.67±5.63）分，对照组为（78.66±3.58）分，研究组患者生活质量评分显著高于对照组，（P＜0.05）。结论：在肝胆外科患者术后实施综合疼痛管理措施，能够减轻患者的疼痛感，提高患者生活质量有重要意义。
关键词： 肝胆外科；疼痛情况；常规护理；临床护理干预；护理效果
Abstract
Objective: To explore the nursing measures for patients with pain after hepatobiliary surgery. Methods: Fifty-eight patients with hepatobiliary disease who were treated in our hospital for hepatobiliary surgery were selected as the research object of this experiment. Before the enrollment, the patient's condition and the existence of various medical histories were investigated in detail. Only patients who met the criteria could be enrolled. The patients were randomly assigned to the reference group and the study group according to the digital random method. Each group was randomly assigned to 29 patients, of which the former used routine nursing and the latter used clinical nursing intervention. The VAS pain scores and the quality of life scores of the two groups of patients were compared after the nursing. Results: The 3 hours, 6 hours, and 9 hours of the study group had a VAS score of (4.23 ± 1.14) points, (3.45 ± 0.88) points, and (2.39 ± 0.66) points; the reference group had (5.48 ± 1.67) points, (4.35 ± 1.14) points, and (3.26 ± 0.99) points; the VAS score of the study group at different time periods was significantly lower than the reference group, (P <0.05). Second, there was no significant difference in quality of life scores between the two groups of patients before nursing (P> 0.05), and after the nursing intervention, the study group was (89.67 ± 5.63) points, and the reference group was (78.66 ± 3.58) points. The quality of life scores of patients in the study group were significantly higher than those in the reference group (P <0.05). Conclusion : Implementing clinical nursing intervention in patients undergoing hepatobiliary surgery can further implement nursing for patients' pain, which is of great significance for relieving pain and improving patients' quality of life.
Key words： Hepatobiliary Surgery; Pain; Routine Nursing; Clinical Nursing Intervention; Nursing Effect
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