本文關鍵詞：綜合護理干預對自發(fā)性蛛網膜下腔出血患者疼痛護理滿意度影響因素的研究　出處：《長春中醫(yī)藥大學》2015年碩士論文　論文類型：學位論文

  更多相關文章： 綜合護理干預 自發(fā)性蛛網膜下腔出血 疼痛護理 滿意度

【摘要】：目的本課題旨在通過對自發(fā)性蛛網膜下腔出血患者疼痛強度及疼痛護理滿意度的調查,了解患者疼痛強度及護士給予綜合護理干預后患者疼痛護理滿意度,分析影響疼痛護理滿意度的相關因素,為患者實施綜合護理干預措施,最終達到緩解患者疼痛、減輕患者痛苦、提高患者疼痛護理滿意度的目的。方法選取長春市某三級甲等綜合醫(yī)院神經外科80例自發(fā)性蛛網膜下腔出血非手術并伴有頭痛住院患者作為研究對象,本研究采用調查問卷的形式隨機抽取樣本分兩組,分別為對照組和研究組。患者自入院時即開始進行問卷調查,對照組給予常規(guī)護理方法,研究組給予綜合護理干預方法,3-5天后再次發(fā)放調查問卷。研究工具包括患者的基本資料、國際通用的簡明疼痛評估量表(BPI)、患者疼痛護理滿意度量表、格拉斯哥昏迷等級評分(GCS),以上量表均有良好的信度和效度。運用SPSS16.0統(tǒng)計包進行統(tǒng)計學分析,包括描述性統(tǒng)計學分析(均數、標準差、百分比)、t檢驗、卡方檢驗等統(tǒng)計學分析方法。P0.05為無差異,P0.05為非顯著性差異,P0.01為顯著性差異。分析綜合護理干預對自發(fā)性蛛網膜下腔出血患者疼痛護理滿意度的影響,提出有效的綜合護理干預方法。結果1.兩組患者在年齡、性別、教育程度、婚姻狀況、經濟負擔疾病能力、疾病種類、每次疼痛時間、藥物止痛有效處置方法、非藥物止痛的處置方法、吸煙史方面無差異(P0.05),兩組之間具有可比性。2.給予常規(guī)護理的對照組,患者疼痛護理滿意度評分整體較低,給予綜合護理干預后的研究組,患者疼痛護理滿意度明顯高于給予常規(guī)護理的對照組患者(P0.01),采取的綜合護理干預方法有效。3.疼痛護理滿意度分為三個維度,包括信任關系、專業(yè)技術能力、護理人員教育關系,在這三個維度上對照組信任關系的評分最低,研究組的信任關系比對照組略有提高,在教育關系和專業(yè)技術方面改善較明顯(P0.01)。結論綜合護理干預方法能夠有效緩解自發(fā)性蛛網膜下腔出血患者頭痛的癥狀。有效提高患者疼痛護理滿意度,本研究可為臨床醫(yī)護人員提供自發(fā)性蛛網膜下腔出血頭痛患者綜合護理干預的方法。提高優(yōu)質護理服務質量,更加完善責任制護理。
[Abstract]:Objective to investigate the pain intensity and nursing satisfaction of patients with spontaneous subarachnoid hemorrhage. To analyze the related factors affecting the degree of pain nursing satisfaction, to implement comprehensive nursing intervention measures for patients, and finally to alleviate the pain of patients and alleviate the pain of patients. Methods 80 patients with spontaneous subarachnoid hemorrhage who were hospitalized with headache were selected from neurosurgery department of a Grade 3A General Hospital in Changchun. This study used the form of questionnaire to randomly select samples divided into two groups, namely the control group and the study group. The patients began to carry out questionnaire since admission, the control group was given routine nursing methods. The study group was given comprehensive nursing intervention method and the questionnaire was sent out again after 3-5 days. The research tools included the basic data of the patients and the international general brief pain assessment scale (BPI). The patients' pain nursing satisfaction scale, Glasgow coma grade scale and GCSS scale all had good reliability and validity. The statistical analysis was carried out with SPSS16.0 statistical kit. Including descriptive statistical analysis (mean, standard deviation, percentage / t test, chi-square test and other statistical analysis methods. P0.01 was the significant difference. The effect of comprehensive nursing intervention on pain nursing satisfaction of patients with spontaneous subarachnoid hemorrhage was analyzed, and an effective comprehensive nursing intervention method was put forward. Results 1.The two groups of patients were in age. 2. Gender, educational level, marital status, financial burden disease ability, disease type, time of each pain, effective treatment method of drug analgesia, non-drug treatment method of pain relief. There was no difference in smoking history between the two groups. 2. The patients' pain nursing satisfaction score was lower in the control group given routine nursing, and the study group after comprehensive nursing intervention. The patients' pain nursing satisfaction was significantly higher than that of the control group, and the comprehensive nursing intervention method was effective. 3. The pain nursing satisfaction was divided into three dimensions, including trust relationship. Professional and technical ability, nursing staff education relationship, control group in these three dimensions of the lowest score of trust relationship, the study group than the control group slightly improved the trust relationship. Significant improvement in educational relations and professional skills (P0.01). Conclusion Comprehensive nursing intervention can effectively relieve the symptoms of headache in patients with spontaneous subarachnoid hemorrhage and improve the patients' satisfaction with pain nursing. This study can provide the comprehensive nursing intervention method for the patients with spontaneous subarachnoid hemorrhage headache, improve the quality of nursing service and perfect the responsibility nursing.
【學位授予單位】：長春中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R473.74

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