循证疼痛护理对痔疮手术患者术后疼痛及创面愈合的影响

王春梅; 曹芳敏; 徐敏; 程芳

doi:10.7619/jcmp.201908029

循证疼痛护理对痔疮手术患者术后疼痛及创面愈合的影响

Effect of evidence-based pain nursing on postoperative pain and wound healing in patients with hemorrhoid surgery

摘要

摘要:
目的探讨循证疼痛护理对痔疮手术患者术后疼痛及创面愈合的影响。
方法将本院2018年1—4月收治的120例痔疮手术患者分为观察组和对照组。对照组60例围术期采用常规护理，观察组60例在常规护理基础上采用循证疼痛护理。比较2组的术后疼痛及创面愈合情况。
结果观察组术后24、48 h疼痛评分、术后最高疼痛评分低于对照组，术后首次换药、首次排便时的疼痛评分低于对照组，差异均有统计学意义(P < 0.05)。观察组术后24、48 h水肿评分低于对照组，出院前的创面评分低于对照组，创面愈合时间短于对照组，差异均有统计学意义(P < 0.05)。
结论循证护理能够减少痔疮手术患者的术后疼痛程度，减轻创面水肿，促进愈合。

Abstract:
Objective To investigate the effect of evidence-based pain nursing on postoperative pain and wound healing in hemorrhoids patients with hemorrhoid surgery.
Methods A total of 120 hemorrhoid cases treated from January to April 2018 in our hospital were randomly divided into observation group and control group. The control group (n= 60) received routine nursing during perioperative period, another 60 cases in the observation group were treated with evidence-based pain nursing on the basis of routine nursing. The postoperative pain and wound healing were compared between the two groups.
Results The 24, 48 h pain scores as well as highest pain score of the observation group were all lower than that of the control group(P < 0.05). The pain scores of the first dressing change and the first bowel movement were lower than that of the control group(P < 0.05). The edema scores of the observation group at 24 and 48 hours after operation were lower, the wound score before discharge was lower, and the wound healing time was shorter than that of the control group(P < 0.05).
Conclusion Evidence-based nursing can reduce postoperative pain degree, reduce wound edema and promote healing of hemorrhoid patients.

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