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目的:探讨知信行模式在普外科手术患者疼痛宣教中的应用效果。方法:将普外科择期手术患者随机分为实验组和对照组各60例。对照组采用常规的宣教方法,实验组采用知信行模式实施疼痛知识宣教及镇痛方法介绍。评估患者术后各时间点(术后12小时、24小时、48小时和72小时)疼痛程度变化及疼痛控制满意度。结果:术后12小时和术后24小时患者疼痛程度,实验组的镇痛效果明显优于对照组(P<0.001);术后48小时、术后72小时两组比较无统计学差异(P>0.05)。疼痛控制满意度,实验组明显优于对照组(P<0.05)。结论:运用知信行模式开展疼痛教育,可以提高外科患者对疼痛控制的满意度,有效控制术后疼痛,有利于术后的康复。
Objective: To explore the effect of Zhixinxing model in painful missionary surgery in general surgery patients. Methods: Patients in general surgery were randomly divided into experimental group and control group of 60 cases. In the control group, the traditional method of mission teaching was used. The experimental group adopted the mode of knowledge and belief to carry out the pain knowledge education and analgesic methods. Patients were assessed at various time points (postoperative 12 hours, 24 hours, 48 hours and 72 hours) changes in pain and pain control satisfaction. Results: The analgesic effect of the experimental group was significantly better than that of the control group at 12 hours and 24 hours after operation (P <0.001). There was no significant difference between the two groups at 48 hours and 72 hours after operation (P > 0.05). Pain satisfaction was significantly improved in experimental group compared with control group (P <0.05). CONCLUSION: Applying the mode of knowing letter and line to carry out pain education can improve the satisfaction of surgical patients with pain control, effectively control the postoperative pain and facilitate postoperative rehabilitation.