Effects of nursing intervention under feedforward control on postoperative patient controlled intravenous analgesia in patients undergoing thoracoscopic lobectomy
10.3760/cma.j.cn115682-20201218-06742
- VernacularTitle:前馈控制护理干预在行胸腔镜肺叶切除术使用术后静脉自控镇痛泵患者中的应用效果
- Author:
Hui WANG
1
;
Chongfang HAN
;
Wenqu YANG
;
Jing YU
;
Haiyan WANG
;
Yaqiong WU
;
Yuan AN
Author Information
1. 山西白求恩医院麻醉科，太原 030032
- Keywords:
Nursing care;
Feedforward control;
Postoperative analgesia;
Thoracoscopic lobectomy
- From:
Chinese Journal of Modern Nursing
2021;27(21):2909-2912
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of nursing interventions under feedforward control on postoperative patient controlled intravenous analgesia (PCIA) in patients undergoing thoracoscopic lobectomy.Methods:Sixty patients who used PCIA pumps after thoracoscopic lobectomy in Shanxi Bethune Hospital from October 2018 to September 2019 were selected and randomly divided into a control group and a test group according to the random number table, with 30 cases in each group. Patients in the control group used PCIA pumps alone, while patients in the test group underwent nursing interventions under feedforward control combined with PCIA pumps. The Visual Analog Scale (VAS) and Ramsay scores were used to assess the analgesia and sedation of the patients in the two groups at 12, 24, 36, and 48 h postoperatively. The dose of analgesic pump medication, the number of self-controlled compressions of the analgesic pump, and the occurrence of adverse reactions at 48 h postoperatively were recorded. The satisfaction with nursing care was rated.Results:The VAS scores at 12, 24, 36 and 48 h postoperatively in the test group were lower than those in the control group, and the Ramsay scores were higher than those in the control group, and the differences were statistically significant ( P<0.05) . The dose of analgesic pump medication and the number of self-controlled compressions of the analgesic pump in the test group were less than those in the control group, and the overall patient satisfaction scores were higher than those in the control group, and the incidence of adverse reactions was lower than that in the control group, and the differences were all statistically significant ( P<0.05) . Conclusions:Nursing interventions under feedforward control in the postoperative analgesic management of patients undergoing thoracoscopic lobectomy can significantly improve the analgesic effect of postoperative PCIA pumps, reduce the incidence of related adverse reactions, and further improve patient satisfaction, which is worth applying and promoting.
