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XIE Jiaxiang, SHAO Yongfeng, HUANG Juan. Standardized pain management in accelerated rehabilitation of patients after cardiac surgeries[J]. Journal of Clinical Medicine in Practice, 2021, 25(9): 82-85. DOI: 10.7619/jcmp.20210570
Citation: XIE Jiaxiang, SHAO Yongfeng, HUANG Juan. Standardized pain management in accelerated rehabilitation of patients after cardiac surgeries[J]. Journal of Clinical Medicine in Practice, 2021, 25(9): 82-85. DOI: 10.7619/jcmp.20210570
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Standardized pain management in accelerated rehabilitation of patients after cardiac surgeries

  • The Second Ward of Department of Cardiovascular Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, 210029

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  • Received Date: January 31, 2021
  • Available Online: May 20, 2021
  • Published Date: May 14, 2021
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    • Abstract
  •   Objective  To observe the effect of standardized pain management in accelerated rehabilitation of patients after cardiac surgeries.
      Methods  Totally 150 patients with cardiac surgeries were randomly divided into control group (n=75) and observation group (n=74, one case missed in the study). The control group was treated with routine nursing measures, and the observation group was treated with standardized pain management on the basis of routine nursing. The pain scores at 1 to 5 days after operation, effective cough condition, bed-off activity condition, the incidence of pulmonary infection and the satisfaction degree to nursing service were compared between the two groups.
      Results  The pain scores at 1 to 5 days after operation in the observation group were significantly lower than those in the control group, and the effective cough condition and bed-off activity condition were significantly better than those in the control group (P < 0.05). The incidence of postoperative pulmonary infection in the observation group was significantly lower than that in the control group, and the satisfaction degree to nursing service was significantly higher than that in the control group (P < 0.05).
      Conclusion  Standardized pain management can alleviate the pain of patients after cardiac surgery, reduce the incidence of postoperative complications, enhance the quality of nursing service, and promote the postoperative rehabilitation.
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    • References (15)
  • [1]
    苏曼曼, 周阳. 术后疼痛管理研究进展[J]. 护理研究, 2018, 32(17): 2669-2672. doi: 10.12102/j.issn.1009-6493.2018.17.007
    [2]
    徐建国. 成人手术后疼痛处理专家共识[J]. 临床麻醉学杂志, 2017, 33(9): 911-917. https://www.cnki.com.cn/Article/CJFDTOTAL-LCMZ201709024.htm
    [3]
    WILMORE DW, KEHLET H. Management of patients in fast track surgery[J]. BMJ, 2001, 322(7284): 473-476. doi: 10.1136/bmj.322.7284.473
    [4]
    张继敏. 快速康复理念在体外循环心脏围术期护理中的应用[J]. 内蒙古医学杂志, 2020, 52(6): 749-750. https://www.cnki.com.cn/Article/CJFDTOTAL-NMYZ202006072.htm
    [5]
    罗珠嘉, 陈玉红. 冠脉搭桥术后患者下床活动时间的影响因素分析[J]. 护理学杂志, 2017, 32(14): 6-9. doi: 10.3870/j.issn.1001-4152.2017.14.006
    [6]
    张海静, 刘俐惠, 周茁. 围术期患者多学科疼痛管理的影响因素分析研究[J]. 中国全科医学, 2019, 22(29): 3561-3569. doi: 10.12114/j.issn.1007-9572.2019.00.317
    [7]
    邵素敏, 洪秀卿, 张丹红. 胸外科患者术后的疼痛评估与护理对策[J]. 中国卫生标准管理, 2016, 7(8): 12-13. https://www.cnki.com.cn/Article/CJFDTOTAL-WSBZ201608136.htm
    [8]
    ALLOU N, ALLYN J, SNAUWAERT A, et al. Postoperative pneumonia following cardiac surgery in non-ventilated patients versus mechanically ventilated patients: is there any difference[J]. Critical Care, 2015, 19(1): 116-125. doi: 10.1186/s13054-015-0845-5
    [9]
    ALLOU N, BRONCHARD R, GUGLIELMINOTTI J, et al. Risk Factors for Postoperative Pneumonia After Cardiac Surgery and Development of a Preoperative Risk Score[J]. Critical Care Medicine, 2014, 42(5): 1150-1156. doi: 10.1097/CCM.0000000000000143
    [10]
    TAMAYO E, ALVAREZ F J, MARTÍNEZ-RAFAEL B, et al. Ventilator-associated pneumonia is an important risk factor for mortality after major cardiac surgery[J]. Journal of Critical Care, 2012, 27(1): 18-25. doi: 10.1016/j.jcrc.2011.03.008
    [11]
    HORTAL J, MUNOZ P, CUERPO G, et al. Ventilator-associated pneumonia in patients undergoing major heart surgery: an incidence study in Europe[J]. Crit Care, 2009, 13(3): R80. doi: 10.1186/cc7896
    [12]
    吉家聪, 邓镇生. 纤维支气管镜吸痰用于心胸外科术后机械通气并发肺部感染的疗效分析[J]. 临床肺科杂志, 2017, 22(7): 1263-1266. doi: 10.3969/j.issn.1009-6663.2017.07.029
    [13]
    于婵, 段霞, 夏杰. 早期四级活动管理方案在冠状动脉旁路移植术患者中的应用研究[J]. 护理管理杂志, 2020, 20(5): 356-360. doi: 10.3969/j.issn.1671-315x.2020.05.011
    [14]
    吴亚丽, 殷昌祺, 马富珍. 品管圈在提高心脏开胸术后病人早期下床活动达标率中的应用[J]. 全科护理, 2020, 18(20): 2549-2553. doi: 10.12104/j.issn.1674-4748.2020.20.028
    [15]
    刘红蕾, 燕朋波, 秦立娥, 快速康复下全膝关节置换术后早期下床活动的研究现状[J]. 天津护理, 2020, 28(5): 628-630. doi: 10.3969/j.issn.1006-9143.2020.05.041
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