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目的探讨规范化疼痛护理对胰十二指肠切除患者疼痛缓解及生活质量的影响。方法选取2014年10月至2016年10月间西安交通大学第一附属医院收治的102例行胰十二指肠切除术的患者,其中,2014年10月至2015年10月间收治的61例患者为对照组,术后采用常规护理,2015年11月至2016年10月间收治的41例患者为观察组,术后行常规护理联合规范化疼痛护理。采用疼痛程度评分及生活质量评分(QOL)评价比较两组患者疼痛缓解及生活质量。结果术前、手术当天及术后第6天两组患者NRS评分比较,差异均无统计学意义(均P>0.05),观察组患者术后1~5天NRS评分均明显低于对照组患者,差异均有统计学意义(均P<0.05)。观察组患者躯体功能、心理功能、社会功能、共性症状和不良反应、特异性症状和生命质量总分评分均高于对照组患者,差异均有统计学意义(均P<0.05)。观察组患者术后镇痛满意度得分为(3.75±0.33)分,明显优于对照组患者的(2.14±0.28)分,差异有统计学意义(P<0.05)。结论规范化疼痛护理能够提高胰十二指肠切除术后患者疼痛控制效果,缓解术后疼痛,改善生活质量。
Objective To investigate the effect of standardized pain management on pain relief and quality of life in patients with pancreatoduodenectomy. Methods A total of 102 patients undergoing pancreatoduodenectomy were enrolled in the First Affiliated Hospital of Xi’an Jiaotong University from October 2014 to October 2016. Among them, 61 patients were treated from October 2014 to October 2015 The patients were control group. After the operation, routine nursing was adopted. From November 2015 to October 2016, 41 patients were treated as the observation group, followed by routine nursing and normalized pain care. Pain relief and quality of life (QOL) were used to evaluate pain relief and quality of life in both groups. Results There were no significant differences in NRS scores between the two groups before operation, on the day of operation and on the 6th day after operation (all P> 0.05). The NRS scores of the observation group from 1 day to 5 days after operation were significantly lower than those of the control group , The differences were statistically significant (all P <0.05). Body function, mental function, social function, common symptoms and adverse reactions, specific symptoms and quality of life scores in observation group were higher than those in control group (all P <0.05). The satisfaction score of postoperative analgesia in the observation group was (3.75 ± 0.33) points, which was significantly better than that of the control group (2.14 ± 0.28) points, the difference was statistically significant (P <0.05). Conclusion Standardized pain care can improve pain control in patients after pancreatoduodenectomy, relieve postoperative pain and improve quality of life.