钟灵 黄桂桂 刘理萍

[摘要] 目的 探讨个体化护理在地市级医院创建无痛舒适病房中的应用效果。 方法 选择2013年6月～2014年6月我院收治的下肢骨折患者160例作为研究对象，随机将其分为观察组和对照组，每组80例患者。观察组患者在围术期采用无痛病房的个性化护理模式；对照组患者在围术期采用常规护理模式。比较两组患者的疼痛评分及患者对疼痛护理的满意度。 结果 在术前1天，术后第1、3天，观察组患者的疼痛评分显著低于对照组，差异有统计学意义（P<0.05）。观察组患者对疼痛控制的满意度显著高于对照组，差异有统计学意义（P<0.05）。观察组患者对医务人员的满意度显著高于对照组，差异有统计学意义（P<0.05）。 结论 个体化护理在地市级医院创建无痛舒适病房中应用是成功有效的，患者满意度高，值得临床推广应用。

[关键词] 个体化护理；无痛舒适病房；满意度

[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721（2016）02（b）-0186-03

Study of personal nursing in municipal hospital establishment painless and comfortable wards

ZHONG Ling HUANG Gui-gui LIU Li-ping

Department of the Second Orthopedics Pediatrics，Xinyu People′s Hospital in Jiangxi Province，Xinyu 338025，China

[Abstract] Objective To observe the application effect of personal nursing in municipal hospital establishment painless and comfortable wards. Methods 160 lower limb fracture patients from June 2013 to June 2014 of our hospital were selected as study group.Patients were randomly divided into two groups： observation group （n=80） and control group （n=80）.Patients in observation group were given personal nursing mode during perioperative.Patients in control group were given routine nursing mode during perioperative.Pain score and patients satisfaction to pain nursing in two groups were compared. Results 1 day before operation，1 day after operation and 3 days after operation，the pain score in observation group was obvious lower than control group，and the difference was statistical significance （P<0.05）.The satisfaction to pain nursing and medical staff in observation group were obvious better than those in control group，and the differences were statistical significance （P<0.05）. Conclusion The using of personal nursing in municipal hospital establishment painless and comfortable wards is successful and with high satisfaction.It is worth to popularize in clinical.

[Key words] Personal nursing；Painless and comfortable wards；Satisfaction

个性化护理服务主要体现在对患者个体化差异的尊重。保护患者个人隐私权，注重患者的个体差异和特性需求，以提供相应的护理关怀。疼痛是一种复杂的生理心理活动，它包括伤害性刺激作用于机体所引起的痛感觉以及机体对伤害性刺激的疼痛反应[1-3]。疼痛是骨科最常见的临床症状。镇痛是临床护理的首要任务[4-5]。笔者在骨科病房对下肢骨折患者应用个性化疼痛评估护理，收到了良好的效果，现报道如下。

1 资料与方法

1.1 一般资料

选择2013年6月～2014年6月我院收治的下肢骨折患者160例作为研究对象，随机将其分为观察组和对照组，每组80例患者。观察组：男54例，女26例；年龄18～68岁，平均（37.5±3.6）岁。对照组：男性57例，女性23例，年龄19～65岁，平均（36.8±4.2）岁。两组患者在性别、年龄等方面差异无统计学意义（P>0.05），具有可比性。本研究经我院伦理委员会批准，患者家属知情同意。