Effect of pain nursing intervention on relieving pain after operation of pedicled skin flap for hand trauma
疼痛护理干预对手外伤带蒂皮瓣术后疼痛的减缓作用

摘要

目的 探究疼痛护理干预对手外伤带蒂皮瓣术后疼痛的减缓作用。方法 此次参加研究的60例受试者，选取时间为2021年1月到2022年3月，将其随机打乱分组，分别为干预组和对照组，每组患者30例，实施不同的护理措施，比对2组疼痛管理情况、护理有效率和围手术期疼痛评分。结果 干预组患者主动上报疼痛的人数更多、使用药物镇痛的人数更少，对比可见，干预组整体疼痛管理更优异，P值＜0.05；2组疼痛护理有效率对比（p=0.0195），干预组例数更大，百分比更高，差异存在统计学意义（P小于0.05）；术前，2组疼痛评分差异小，术后一周内干预组患者疼痛评分更低，且差异存在统计学意义（P小于0.05）。结论 手外伤行带蒂皮瓣手术，术后应用疼痛护理，对降低患者应激反应、术后痛感影响较大，该项护理方法值得临床积极推广。

Abstract

Objective To explore the effect of pain nursing intervention on relieving pain after operation of pedicled skin flap for hand trauma.
Methods: 60 subjects from January 2021 to March 2022 were randomly divided into intervention group and control group, with 30 patients in each group. Different nursing measures were implemented to compare the pain management, nursing efficiency and perioperative pain score of the two groups.
Results: the number of patients in the intervention group actively reported pain was more and the number of patients using drugs for analgesia was less. It can be seen from the comparison that the overall pain management in the intervention group was better, P < 0.05; The effective rate of pain nursing in the two groups was compared (P = 0.0195). The number of cases in the intervention group was larger and the percentage was higher, and the difference was statistically significant (P < 0.05); There was little difference in pain scores between the two groups before operation, and the pain scores of the intervention group were lower within one week after operation, and the difference was statistically significant (P < 0.05).
Conclusion  : pedicled skin flap surgery for hand trauma and postoperative pain nursing have a great impact on reducing patients' stress response and postoperative pain. This nursing method is worthy of active promotion in clinic.