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目的:研究路径化管理对胃癌患者术前和术后疼痛的影响。方法:选取2011年3月-2014年12月本院确诊的胃癌并伴有癌痛患者90例作为研究对象,按照是否进行路径化管理分为对照组和观察组,每组45例。对照组进行一般常规护理,仅根据患者疼痛程度给予镇痛治疗,观察组在对照组基础上由专门成立路径化管理小组统一管理。比较两组患者疼痛依从性、术前、术后3 d疼痛评分、护理工作满意度情况。结果:观察组在疼痛依从性、术前1 d、术后前3 d疼痛评分及护理工作满意度方面均优于对照组,比较差异均有统计学意义(P<0.05)。结论:对胃癌患者实施路径化管理,有助于患者术后疼痛的缓解和康复。
Objective: To study the effect of path management on preoperative and postoperative pain in gastric cancer patients. Methods: From March 2011 to December 2014, 90 patients with gastric cancer and cancer pain in our hospital were selected as the research object. According to the path management, 45 cases were divided into control group and observation group. Patients in control group were given routine nursing care. Analgesic treatment was given only according to patient’s pain degree. Observation group was unifiedly managed by specialized management team based on control group. The pain compliance, preoperative and postoperative pain score, nursing satisfaction were compared between the two groups. Results: The observation group was superior to the control group in the aspects of pain compliance, preoperative 1 day, pain score in the first 3 days after operation and satisfaction degree in nursing work. The difference was statistically significant (P <0.05). Conclusion: The pathological management of patients with gastric cancer, help patients with postoperative pain relief and rehabilitation.