神经外科腰椎显微手术后疼痛的循证护理

Evidence-based nursing practice of postoperative pain management in neurosurgery patients

摘要:

目的：研究循证护理在神经外科腰椎显微手术后疼痛管理的临床效果，并进一步构建其循证护理模式。方法：回顾性分析2020年1月-2021年7月在我院神经外科接受腰椎显微手术治疗并开展术后疼痛护理的52例患者，根据其接受的护理模式分成2组：对照组（常规护理）、观察组（循证护理），其中对照组25例，观察组27例。观察组采用循证护理实践模式，对各类研究进行文献质量评价及证据级别评定，根据术后疼痛的相关因素与护理要点，总结相应推荐意见，并应用于临床护理。两组对比评价指标：腰椎功能障碍指数、功能恢复情况及疼痛；生理舒适度及睡眠质量以及平均住院日。结果：行循证护理的观察组，患者功能障碍程度、疼痛程度较轻，腰椎功能较好，舒适度和睡眠质量较高，两组数据对比，P＜0.05。结论：在神经外科腰椎显微手术后对患者进行疼痛的循证护理效果显著，可降低患者疼痛程度并改善腰椎功能。基于循证护理实践，有助于科学构建临床护理模式。

Abstract:

Objective: To explore the effect and value of evidence-based nursing in pain management for patients undergoing lumbar spine surgery in neurosurgery. Methods: This study was conducted retrospectively. The study period was 2020.1-2021.7. Objective fifty-two patients who received lumbar spine surgery and pain management in the neurosurgery department of our hospital were randomly divided into two groups. Grouping: Number of groups: 2 groups, type: control group (routine nursing), observation group (evidence-based nursing), number of cases in the group: 25 cases in each group. The observation results of the two groups were compared: lumbar dysfunction, functional recovery and pain; Physical comfort and sleep quality. Results: In the observation group who underwent evidence-based nursing, the patients had less dysfunction, less pain, better lumbar function, better comfort and better sleep quality. Data comparison between the two groups, P<0.05. Conclusion: Evidence-based nursing has a significant effect in the pain management of patients with neurosurgical lumbar spine surgery, which can reduce the pain of patients and improve the function of the lumbar spine.