Nursing intervention of postoperative pain in patients undergoing gynecology and obstetric surgery
妇产科手术患者术后疼痛的护理干预

摘要

目的：探究将护理干预应用于妇产科手术后患者疼痛护理中的临床效果。方法：我院妇产科于2019年7月至2020年3月收治，均为需要接受妇产科手术治疗的患者，共68例，据调查均符合入组标准，并在入组后采用双盲法将其随机分配为对照组和观察组，每组34例患者，其中对照组采用常规护理，观察组在常规护理方式的基础上使用护理干预，对比两组患者的VAS疼痛评分、住院时间及满意度。结果：使用护理干预的观察组，患者VAS疼痛评分为（3.67±0.23）分，住院时间（8.46±2.43）d；对照组VAS评分、住院时间分布为（7.24±0.16）分、（12.39±2.7）d，观察组相关指标明显优于对照组，存在统计学意义，（P＜0.05）。其次，观察组十分满意、一般满意、不满意患者例数分别为20例、13例、1例，满意度（97.05%）；对照组十分满意、一般满意、不满意患者例数分别为17例、10例、7例，满意度（79.41%），观察组满意度更高于对照组，（P＜0.05）。结论：将护理干预应用于对妇产科疾病患者的护理工作中应用价值较高，可较大程度的缓解患者疼痛感，提升满意度。

Abstract

Objective: To explore the clinical effect of applying nursing intervention to pain care of patients after gynecological and obstetric surgery.
Methods: The Obstetrics and Gynecology Department of our hospital was admitted from July 2019 to March 2020, all patients required gynecological and obstetric surgery, a total of 68 patients, according to the investigation, all met the inclusion criteria and were adopted after enrollment. They were randomly assigned to a control group and an observation group by double-blind method, with 34 patients in each group, of which the control group received routine nursing, and the observation group used nursing intervention based on the conventional nursing methods, comparing the VAS pain score and hospitalization of the two groups of patients time and satisfaction.
Results: In the observation group using nursing intervention, the patient ’s VAS pain score was (3.67 ± 0.23) points, and the hospital stay was (8.46 ± 2.43) d; the control group VAS score and hospitalization time distribution were (7.24 ± 0.16) points, (12.39 ± 2.7 ) d, the relevant indicators of the observation group were significantly better than the control group, with statistical significance (P <0.05). Secondly, the number of patients in the observation group who were very satisfied, generally satisfied, and dissatisfied were 20, 13, and 1, respectively (97.05%); in the control group, the number of patients who were very satisfied, generally satisfied, and dissatisfied was 17 , 10 cases, 7 cases, satisfaction (79.41%), the observation group satisfaction is higher than the control group, (P <0.05).
Conclusion  : The application of nursing intervention in nursing work for patients with obstetrics and gynecology diseases has high application value, which can relieve patients' pain and improve satisfaction to a greater extent.