临床普外科电子杂志 ›› 2025, Vol. 13 ›› Issue (2): 106-.

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疼痛护理干预改善胆囊结石患者术后生活质量的价值探讨

  

  1. 常熟市梅李人民医院 普外科,江苏 常熟 215511
  • 出版日期:2025-04-01 发布日期:2025-08-12

Exploration of the value of pain care intervention in improving postoperative quality of life for patients with gallstones

  1. General Surgery Department of Meili People’s Hospital, Jiangsu Changshu 215511, China
  • Online:2025-04-01 Published:2025-08-12

摘要:

目的 探析疼痛护理干预应用于胆囊结石患者术后的效果。方法 纳入 2022 年 12 月至 2024 年 12 月常熟市梅李人民医院实施手术治疗的胆囊结石患者 68 例,按照随机数字表法分成对照组和观察组各 34 例。对照组实施常规护理,观察组则在对照组基础上采用疼痛护理干预,比较两组的疼痛情况、睡眠质量、生活质量、护理总满意情况。结果 手术前,两组患者的视觉模拟评分法(visual analogue scale, VAS)评分比较无显著差异(P > 0.05)。但观察组患者术后 12h、24h、48h 时的 VAS 评分显著低于对照组,且疼痛持续时间短于对照组,差异均有显著性(P < 0.001)。护理前,两组患者的匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)评分、生活质量综合评定问卷(generic quality of life inventory 74,GQOLI-74)评分比较无显著差异(P > 0.05)。护理后,观察组的 PSQI 评分较对照组更低,GQOLI-74 各项评分均高于对照组,差异均有显著性(P < 0.05)。观察组患者的护理总满意率为 94.12%,显著高于对照组(76.47%),差异有显著性(P=0.037)。结论 疼痛护理干预应用于胆囊结石患者,对患者术后康复中有显著的效果,能减轻患者的疼痛感,提高其生活质量和睡眠质量。

关键词: 疼痛护理干预, 胆囊结石, 术后, 生活质量

Abstract:

Objective To explore the effect of pain nursing intervention on postoperative patients with gallstones. Method 68 patients with gallstones who underwent surgical treatment at Meili People’s Hospital in Changshu City from December 2022 to December 2024 were included and randomly divided into two groups of 34 patients each using a random number table method. The control group received routine nursing care, while the observation group received pain nursing intervention on the basis of the control group. The pain situation, sleep quality, quality of life, and overall satisfaction with nursing care were compared between the two groups. Result Before the surgery, there was no significant difference in visual analogue scale(VAS) scores between the two groups of patients (P > 0.05). However, the VAS scores of the observation group patients at 12 hours, 24 hours, and 48 hours after surgery were significantly lower than those of the control group, and the duration of pain was shorter than that of the control group, with significant differences (P < 0.001). Before nursing, there was no significant difference in the Pittsburgh sleep quality index(PSQI) score and generic quality of life inventory 74(GQOLI-74) score between the two groups of patients (P > 0.05). After nursing, the PSQI score of the observation group was lower than that of the control group, and the GQOLI-74 scores were all higher than those of the control group, with significant differences (P < 0.05). The overall satisfaction rate of nursing care in the observation group was 94.12%, significantly higher than that in the control group (76.47%), and the difference was significant (P=0.037). Conclusion Pain nursing intervention applied to patients with gallstones has significant effects on postoperative rehabilitation, reducing their pain and improving their quality of life and sleep.

Key words: Pain care intervention, Gallstones, After surgery, Quality of life