DU Jiaojiao , SONG Yinghan , LI Shihan , ZHANG Yuchen , MA Hongsheng , DAI Yan
  • Day Surgery Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
DAI Yan, Email: 1846703501@qq.com
Nursing intervention; Day surgery; Laparoscopic cholecystectomy; Pain
10.7507/1002-0179.201710091
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Objective  To analyze the clinical effect of individualized pain nursing intervention on the pain relieving after ambulatory laparoscopic cholecystectomy (LC) . Methods  From March to June 2017, a total of 180 ambulatory LC patients were selected and randomly asigned into the control group and the intervention group with 90 cases in each group. Parecoxib sodium (40 mg) was preoperatively administrated half an hour before the surgery to the patients in both of the two groups. The patients in the control group were treated with routine nursing intervention, while the ones in the intervention group were given individualized pain nursing interventions, including regular pain assessment, preoperative pain health guidance, enhanced education for pain related knowledge, and following the nursing theory of enhanced recovery after surgery. Visual Analogue Scale (VAS) was used to measure the degree of postoperative pain, and the data of dormant pain were collected. Results  There was no significant difference between the two groups in VAS one hour after the operation (P>0.05); the VAS scores 2, 6 and 12 hours after the operation gradually decreased in the two groups (P<0.05), and the scores of patients in the intervention group were much lower than those in the control group (P<0.05). The time of pain relieving in the intervention group and the control group was (3.25±1.72) and (5.39±2.06) hours, respectively, and the difference was statistically significant (P<0.05). The incidence of dormant pain in the intervention group (12.2%) was lower than that in the control group (33.3%), and the difference was statistically significant (P<0.05). Conclusion  Individualized pain nursing interventions can effectively alleviate the postoperative pain and improve the quality of sleep in ambulatory LC patients.

Citation： DU Jiaojiao, SONG Yinghan, LI Shihan, ZHANG Yuchen, MA Hongsheng, DAI Yan. Analysis of nursing intervention on pain relieving after ambulatory laparoscopic cholecystectomy. West China Medical Journal, 2017, 32(11): 1667-1670. doi: 10.7507/1002-0179.201710091 Copy

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