Effect of non-medicine intervention on the postoperative patient controlled epidural analgesia of lower limbs orthopedics surgery
10.3760/j.issn.1674-2907.2014.35.018
- VernacularTitle:非药物干预对下肢骨科术后硬膜外镇痛效果的影响
- Author:
Wenjuan CHEN
1
;
Jingwei JIANG
;
Hongying PAN
Author Information
1. 324100 浙江省衢州市江山市人民医院科教科
- Keywords:
Epidural analgesia;
Non-medicine intervention;
Postoperation of orthopedics surgery
- From:
Chinese Journal of Modern Nursing
2014;20(35):4456-4459
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of non-medicine intervention on the postoperative patient controlled epidural analgesia of lower limbs orthopedics surgery , and to assess the clinic value of non-medicine intervention .Methods Totals of 80 cases were selected and randomly divided into observation group and control group with 40 cases each group , they received epidural anesthesia and patient controlled analgesia .Patients in control group received the routine nursing such as analgesia using , diet and mouth care , catheter and perineum nursing, routine education and suitable position and so on .On the basis of that, patients in observation group received non-medicine intervention such as enhancing the pain management education of medical staff , education for patient on pain expection , three-dimensional ice packs using , mental and music intervention .Then, the incidence of adverse reaction such as pain degree , dizzy, nausea and spit , itch and so on, and total times of press analgesia during 48 hours after the operation were observed of two groups .Results Pain degree of observation group at 4,8,12,24,48 h after operation respectively were lower than that of control group , the differences were statistically significant (P<0.05).The incidence of adverse reaction such as pain degree , dizzy, nausea and spit, itch of observation group was 7.5%, and that was 25.0% of control group, and the difference was statistically significant (χ2 =4.500 6,P<0.05).As well as the total times of press analgesia in observation group was (2.2 ±1.1) , lower than that in control group (3.3 ±1.2), the difference was statistically significant (t=4.273 7,P<0.01).Conclusions Non-medicine intervention can effectively reduce the pain degree , reduce the times of press analgesia and the incidence of adverse reaction .
