吴敏红　杨惠芬

[摘要] 目的 對宫颈癌患者围手术期采用疼痛护理干预路径护理，观察患者围手术期疼痛及负性情绪改善情况。 方法 选取2016年3月～2017年8月入院后确诊为宫颈癌患者133例；采取双盲法，根据患者确诊后病床单双号分为对照组66例与观察组67例；对照组予常规围手术期护理措施，观察组在对照组基础上加行疼痛护理干预路径；比较两组患者术前1 d与术后5 d、10 d NRS疼痛评分、简明疼痛评估量表评分，两组患者术前1 d与术后10 d焦虑自评量表评分（SAS）、抑郁自评量表评分（SDS），两组患者围手术期护理依从性评分。 结果 两组患者术前NRS、简明疼痛评估量表评分均无统计学差异（P>0.05），术后5 d评分均存在统计学意义，且观察组优于对照组（P<0.05），术后10 d简明疼痛评估量表评分存在统计学意义，观察组优于对照组（P<0.05）；两组患者术前SAS、SDS评分无统计学差异（P>0.05），术后5 d、10 d评分存在统计学意义，观察组优于对照组（P<0.05）；术后10 d调查发现围手术期观察组护理依从性明显优于对照组，差异均有统计学意义（P<0.05）。 结论 对宫颈癌患者围手术期采用疼痛护理干预路径能够有效降低患者负性情绪，提升患者护理依从性，且能够有效减轻患者围手术期疼痛程度，值得临床应用与推广。

[关键词] 疼痛护理干预路径；宫颈癌；围手术期；疼痛评分；负性情绪

[中图分类号] R473.73 [文献标识码] B [文章编号] 1673-9701（2017）36-0147-04

[Abstract] Objective To investigate the perioperative pain relief and negative mood improvement in patients with cervical cancer by taking pain nursing intervention in cervical cancer patients during periooperative period. Methods A total of 133 patients diagnosed with cervical cancer after admission from March 2016 to August 2017 were enrolled in the study. According to the single and double numbers of patient beds， the patients were divided into control group （n=66） and observation group（n=67） by taking double-blind method. The control group was given conventional perioperative nursing intervention. The patients in the observation group were given pain nursing interventions on the basis of the treatment in the control group. The NRS pain score， concise pain assessment scale score at 1 day before operation and at 5 days after operation， the scores of anxiety self-rating scale （SAS）， depression self-rating scale （SDS） at 1 day before operation， and perioperative nursing compliance scores were compared between the two groups. Results There were no significant differences in preoperative NRS and brief pain assessment scale scores between the two groups（P>0.05）， and the scores at postoperative 5 d between the two groups had statistical significance（P<0.05）. The scores of the observation group were better than those of the control group（P<0.05）. There was statistically significant difference in the between the two groups on the 10th day after the operation， and the brief pain assessment scale score of the observation group was better than that of the control group（P<0.05）. The preoperative SAS， SDS scores had no significant difference between the two groups（P>0.05）. There were significant differences in scores at postoperative 5 d and 10 d， and the scores in observation group was better than that of the control group（P<0.05）. The survey at 10 d after surgery found that perioperative nursing compliance in the observation group was significantly better than that in the control group， and the data was statistically significant（P<0.05）. Conclusion Perioperative nursing interventions for cervical cancer patients can effectively reduce the negative emotions， improve patient care compliance， and can effectively reduce the perioperative pain in patients， which is worthy of clinical application and promotion.

[Key words] Pain nursing intervention pathway； Cervical cancer； Perioperative period； Pain score； Negative emotion

宫颈癌发病率是妇科恶性肿瘤中首位，对宫颈癌的治疗方法最主要的为早期手术[1]。宫颈癌患者围手术期的精神症状主要表现为焦虑、抑郁，这与恶性肿瘤的发生、患者存活时间、心理因素、社会支持等方面因素相关[2]。随着人们物质生活水平的不断提升，人们对于疾病的治疗不再局限于生理层面，更加需要精神层面的恢复[3]，因此，针对宫颈癌患者围手术期负性情绪的改善，成为了治疗宫颈癌的第二目标。我院就针对宫颈癌患者开展了疼痛护理干预路径，观察其对患者围手术期疼痛及负性情绪的影响，取得肯定研究结局，现报道如下。