肝脏外科临床中引入规范化疼痛评估对患者疼痛及睡眠质量的影响

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Abstract Objective To explore the influence of standardized pain assessment on pain and sleep quality of patients in clinical liver surgery. Methods From February 2016 to March 2018, 126 patients with liver cancer undergoing liver surgery in Gulou Hospital affiliated to Nanjing University School of Medicine (hereinafter referred to as “our hospital”) were selected as study subjects, from February 2016 to February 2017, 63 patients admitted to our hospital were taken as the control group, from March 2017 to March 2018, 63 patients admitted to our hospital were treated as the observation group. The control group adopted traditional health education and pain assessment measures, and the observation group received standardized pain assessment, physical analgesia and drug analgesia on the basis of the control group. The pain degree, sleep quality and satisfaction were compared between the two groups. Results The pain degree of the observation group was lower than that of the control group at 3 h, 12 h, 1 d, 2 d and 3 d after surgery, and the difference was statistically significant (all P ＜ 0.05). The sleep time, amouto sleep, hypnotic drugs, sleep disorders, sleep efficiency, dysfunction, sleep quality scores and total scores of the observation group were all lower than those of the control group 3 d after surgery, and the differences were statistically significant (all P ＜ 0.05). The satisfaction of the observation group was higher than that of the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion The application of standardized pain assessment in clinical liver surgery can effectively relieve patients′ pain, improve their sleep quality and satisfaction, which is worthy of clinical promotion.

Key words： Liver surgery Clinical Standardized pain assessment Pain degree Sleep quality Satisfaction

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	ZHANG Xiaolei SHAN Shihan▲ XIA Xuefeng FU Qiaomei

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ZHANG Xiaolei SHAN Shihan▲ XIA Xuefeng FU Qiaomei. Effect of standardized pain assessment on pain and sleep quality of patients in clinical liver surgery[J]. 中国医药导报, 2020, 17(20): 168-171.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I20/168

[1] 陈肖敏，付丽萍，叶美珍，等.基于格林模式提高疼痛评估护理质量的实践[J].中国护理管理，2018，18（2）：232-235.
[2] 庄美华，叶建芳，居晨霞，等.改良疼痛评估尺在骨科围手术期静息及活动性疼痛管理质量中的应用[J].实用临床护理学电子杂志，2017，2（31）：195-198.
[3] ?覶akit MO，?覶akit BD，Gen?觭 H，et al. The Association of Skinfold Anthropometric Measures，Body Composition and Disease Severity in Obese and Non-obese Fibromyalgia Patients：A Cross-sectional Study [J]. Arch Rheumatol，2017，33（1）：59-65.
[4] 王静，吕凤云.中文版疼痛评估软件在老年术后患者中应用的信、效度分析[J].中华现代护理杂志，2017，23（34）：4358-4362.
[5] 王艳红，潘越.提升护士对术后患者活动性疼痛评估的认知能力[J].实用临床护理学电子杂志，2018，3（7）：162.
[6] Akbarzadeh SR，Taghavi Gillani M，Tabari M，et al. Comparative Analysis of the Usefulness of the GlideScope ，Macintosh，and McCoy Laryngoscopes for Endotracheal Intubation in Patients with Obesity：A Randomized，Clinical Trial [J]. Anesth Pain Med，2017，7（6）：7913.
[7] 陶利琼，孙丽，吴晓燕，等.疼痛自我评估卡在癌性疼痛患者中的应用[J].齐鲁护理杂志，2018，24（13）：38-40.
[8] 张敏，路潜，张海燕.客观疼痛评估工具在ICU成人机械通气病人中的应用研究与特点分析[J].护理研究，2018， 32（11）：1675-1679.
[9] 梁婉玲.术后活动性疼痛护理评估对腹腔镜胆囊切除术患者负性情绪及疼痛的影响[J].临床护理杂志，2018，17（1）：50-52.
[10] 薄纯露，章笑天，翟静，等.成人疼痛评估多维度量表的研究进展[J].护理管理杂志，2018，18（3）：218-221，225.
[11] Bener A，Alsulaiman R，Doodson L，et al. An assessment of reliability and validity of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30 among breast cancer patients in Qatar [J]. J Family Med Prim Care，2017，6（4）：824-831.
[12] 印怡臻.肝癌行肝动脉化疗栓塞术后患者疼痛评估及护理进展[J].齐鲁护理杂志，2018，24（4）：99-102.
[13] 刘冬华，童莺歌，冯翠翠，等.4种工具用于老年患者术后疼痛评估效果比较[J].护理学杂志，2018，33（7）：1-4.
[14] 邱倩琪，田航，宋兴荣，等.超声引导下左布比卡因联合右美托咪啶行肋间神经阻滞对小儿NUSS手术术后镇痛的效果[J].中国医药导报，2018，15（19）：104-108.
[15] Kurtovi■ B，Rotim K，Mladi■ Batinica I，et al. Analgesic Effect-Comparison of Paracetamol Administered Intermittently and Through Patient-Controlled Analgesia Pump after Lumbar Discectomy：a Prospective Clinical Study [J]. Acta Clin Croat，2017，56（2）：236-243.
[16] 郑琳，高巍巍.疼痛评估综合记录表在治疗带状疱疹后神经疼痛中的应用[J].现代临床护理，2017，16（6）：15-18.
[17] 周红，荚卫东，乔晓斐，等.多模式预防性镇痛在肝癌肝部分切除患者围手术期的应用[J].中华外科杂志，2017， 55（2）：141-145.
[18] 张理，蒋涛，席小燕.系统疼痛管理对老年髋部骨折手术患者应激反应及疼痛阈值的影响[J].创伤外科杂志，2019，21（8）：595-600.
[19] 陈佳佳，童莺歌，柴玲，等.中文版多维疼痛评估工具的比较分析[J].护理学杂志，2018，33（6）：102-105.
[20] 韩斌，徐铭军.不同镇痛药物预防患者全麻术后苏醒期躁动和寒颤的临床研究[J].中国医药导报，2016，13（25）：104-107.
[21] 林霞.优质护理对手外科患者术后疼痛及手功能的影响分析[J].中外医学研究，2018，16（26）：105-106.
[22] 庞小锋，黄桂花.手术室护理中应用人性化护理的价值[J].中国医学创新，2019，16（18）：89-92.