1 无锡市中医医院手术室，江苏 无锡 214000
目的：研究手术室舒适护理对股神经阻滞联合自控镇痛患者术后镇痛的辅助作用及护理满意度的影响。方法：设计病例对照研究方案，共纳入42例行人工膝关节置换术治疗的患者，并将其随机分组。所有患者均行股神经阻滞麻醉联合自控镇痛。手术室护理中，对照组实施常规护理，观察组实施舒适护理，包括个性化健康教育、体位护理、心理护理、环境及体温护理。将患者术后镇痛效果[采用视觉模拟评分法(Visual Analogue Scale，VAS)评价]及护理满意度(采用《护理满意度调查问卷》调查)作为主要观察指标。结果：术后4，8，12，24 h，观察组平均VAS评分均低于对照组(P<0.05)；观察组护理满意度高于对照组(95.24% vs 76.19%，P<0.05)。结论：在手术室护理中对股神经阻滞联合自控镇痛患者应用舒适护理能有效提高术后镇痛效果和护理满意度。
Effect of comfortable operating room nursing on postoperative analgesia and nursing satisfaction in patients with femoral nerve block and self-controlled analgesia
CorrespondingAuthor: SUN Ye
This work was supported by the Science and Technology Project of Jiangsu Province Traditional Chinese Medicine Bureau, China (LZ13120).
Objective: To study the effect of comfortable operating room nursing on postoperative analgesia and nursing satisfaction in patients with femoral nerve block and self-controlled analgesia. Methods: A case-control study protocol was designed. During the implementation of the protocol, a total of 42 patients who underwent artificial knee replacement surgery were included and randomly divided into 2 groups. All patients underwent femoral nerve block anesthesia combined with self-controlled analgesia. In the operating room care, the control group was given routine care, and the observation group was given comfort care, including personalized health education, posture care, psychological care, environmental and temperature care. Patients’ postoperative analgesic effect [evaluated by Visual Analogue Scale (VAS)] and nursing satisfaction [adopted by the “Nursing Satisfaction Questionnaire” survey] were used as the main observation indicators of this study. Results: At 4, 8, 12, and 24 h after surgery, the average VAS score in the observation group was lower than that in the control group (P<0.05). Nursing satisfaction of the observation group was higher than that of the control group (95.24% vs 76.19%, P<0.05). Conclusion: The application of comfortable nursing in the operating room nursing of patients with femoral nerve block combined with self-controlled analgesia can effectively improve the postoperative analgesic effect and nursing satisfaction.
femoral nerve block anesthesia; self-controlled analgesia; comfortable nursing in the operating room; analgesic effect; satisfaction