综合护理干预措施对腹透析导管插入的患者的伤口疼痛的影响
Chao Chen1, Xiang-Lei Wang1, Hui Li1
1Department of Nephrology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
International wound journal
|April 4, 2024
概括
综合护理干预措施显著减少腹腔透析患者的伤口疼痛,焦虑和抑郁. 这种方法提高了患者的满意度,并证明了改善护理的显著临床价值.
科学领域:
- 科 护理 护理学
- 手术患者护理手术患者护理
- 疼痛管理 疼痛管理
背景情况:
- 腹腔透析 (PD) 导管插入可以引起严重的伤口疼痛和心理困扰.
- 有效的疼痛和情绪管理对于PD患者的结果和满意度至关重要.
- 优化护理策略对于改善PD导管治疗期间的患者体验至关重要.
研究的目的:
- 评估综合护理干预措施对在接受PD导管插入的患者中治疗伤口疼痛,焦虑和抑郁的有效性.
- 为了比较接受综合护理干预和接受常规护理的患者之间的患者满意度水平.
- 确定PD患者增强护理策略的临床价值.
主要方法:
- 一项随机对照试验,涉及60名接受PD导管插入的患者.
- 患者被分为一个实验组 (综合护理干预) 和一个对照组 (常规护理).
- 测量结果包括疼痛视觉模拟量表 (VAS),自我评价焦虑量表 (SAS),自我评价抑郁量表 (SDS) 和护理满意度.
主要成果:
- 与对照组相比,实验组在干预后的3,5和7天显示出明显较低的VAS得分 (p < 0.001).
- 在实验组中,焦虑和抑郁水平 (SAS和SDS) 显著降低 (p < 0.001).
- 实验组的护理满意度 (96.67%) 与对照组 (73.33%) 相比显著更高 (p = 0.011).
结论:
- 综合护理干预措施在管理伤口疼痛和PD导管插入后的负面情绪方面非常有效.
- 这些干预措施显著提高了患者的满意度,突出了它们的临床价值.
- 实施增强的护理护理策略可以优化腹腔透析患者的康复和福祉.
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