下肢动脉硬化闭塞症伴疼痛患者采用个体化疼痛管理方案的干预效果观察及其对SAS评分的影响
Observation on the Intervention Effect of Individualized Pain Management Scheme in Patients with Lower Extremity Arteriosclerosis Obliterans with Pain and Its Effect on SAS Score
摘要: 目的：研究下肢动脉硬化闭塞症伴疼痛患者采用个体化疼痛管理方案的干预效果及其对SAS评分的影响。方法：选取我院2019年5月~2021年5月期间收治的下肢动脉硬化闭塞症伴疼痛患者70例，随机分为研究组和对照组，每组35例，研究组采取个体化疼痛管理方案，对照组采取常规疼痛护理，观察并比较两组焦虑/抑郁自评量表(SAS/SDS)评分、疼痛情况、血管与下肢功能、生活质量量表(SF-36评分)。结果：研究组护理后的SAS、SDS评分显著低于对照组(P < 0.05)；研究组护理后的VAS评分显著低于对照组，发作频率、持续时间显著少于对照组(P < 0.05)；研究组的动脉血流速度、踝肱指数(ABI)、跛行距离(DOC)水平显著高于对照组(P < 0.05)；研究组护理后的SF-36评分显著高于对照组(P < 0.05)。结论：在对下肢动脉硬化闭塞症伴疼痛患者的护理中，采取个体化疼痛管理方案能够减轻患者疼痛，改善负性情绪，提高生活质量，促进血管及下肢功能恢复，护理效果较常规疼痛护理更好。
Abstract: Objective: To study the intervention effect of an individualized pain management scheme in patients with lower extremity arteriosclerosis obliterans with pain and its effect on SAS score. Methods: 70 patients with lower extremity arteriosclerosis obliterans with pain treated in our hospital from May 2019 to May 2021 were randomly divided into study group and control group with 35 cases in each group. The study group adopted individualized pain management scheme and the control group adopted routine pain nursing. The scores of anxiety/depression self rating scale (SAS/SDS) pain vascular and lower extremity function blood vessel and lower extremity function of the two groups were observed and compared quality of life scale (SF-36 score). Results: The scores of SAS and SDS in the study group were significantly lower than those in the control group (P < 0.05); the VAS score of the study group after nursing was significantly lower than that of the control group and the attack frequency and duration were significantly lower than those of the control group(P < 0.05); the arterial blood flow velocity ankle brachial index (ABI) and claudication distance (DOC) in the study group were significantly higher than those in the control group (P < 0.05); the SF-36 score of the study group after nursing was significantly higher than that of the control group (P < 0.05). Conclusion: In the nursing of patients with lower extremity arteriosclerosis obliterans with pain (individualized pain management scheme can reduce patients’ pain improve negative emotion improve quality of life promote the recovery of blood vessel and lower extremity function and the nursing effect is better than conventional pain nursing.
文章引用：袁均菊, 刘小露, 肖莲, 陈余余, 邓念. 下肢动脉硬化闭塞症伴疼痛患者采用个体化疼痛管理方案的干预效果观察及其对SAS评分的影响[J]. 护理学, 2021, 10(5): 570-576. https://doi.org/10.12677/NS.2021.105093

参考文献

[1] 陈静, 任凌云, 张秋薇. 延续性护理对下肢动脉硬化闭塞症患者介入术后运动功能、预后的影响[J]. 临床与病理杂志, 2018, 38(9): 1970-1976.
[2] 夏梦岩, 高振华. 下肢动脉硬化闭塞症血管支架置入术后的功能锻炼与心理康复护理[J]. 实用临床医药杂志, 2018, 22(8): 63-65.
[3] 王秀兰, 吴翔. 探讨综合护理对下肢动脉硬化闭塞症患者疼痛的疗效观察[J]. 护士进修杂志, 2017, 32(15): 1390-1391.
[4] 亓明. 下肢动脉硬化闭塞症的诊断和治疗[M]. 长春: 吉林大学出版社, 2013.
[5] 郑春兰, 尚玉珊, 王晶. 正念减压疗法对下肢动脉硬化闭塞症患者焦虑情绪及睡眠质量的影响[J]. 中华全科医学, 2019, 17(6): 997-999+1045.
[6] 李晶晶, 蒋锐, 呼永河, 等. 艾灸干预在老年下肢动脉硬化闭塞症介入术患者中的应用[J]. 西南国防医药, 2021, 31(3): 197-199.
[7] 张永玲, 赵晓雯. 下肢动脉硬化闭塞患者介入治疗前后生存质量研究[J]. 哈尔滨医科大学学报, 2018, 52(3): 292-296.
[8] Nakajima, F., Morimoto, S., et al. (2018) Increment of Cerebral Blood Flow by LDL-Apheresis in Dialy-sis Patients with Arteriosclerosis Obliterans: A Pilot Study. The International Journal of Artificial Organs, 35, 981-985. [Google Scholar] [CrossRef] 
[9] Xie, R., Feng, Y., Wen, Y., et al. (2017) Expression of RCAN1 and CnA in Tissues of In-Stent Restenosis after Intervention of Lower Extremity Arteriosclerosis Obliterans and Its Significance. Journal of Shanghai Jiaotong University, 37, 298-304.
[10] 黄斯旖, 陆信武, 成咏. 疼痛护理干预对下肢动脉硬化闭塞症患者术后疼痛的影响[J]. 中华老年多器官疾病杂志, 2020, 19(1): 17-20.
[11] 齐加新, 张振美. 个体化疼痛管理方案对下肢动脉硬化闭塞症伴疼痛患者的干预效果[J]. 山东医药, 2020, 60(16): 59-61.
[12] Futier, E., Pereira, B. and Jaber, S. (2018) Organ Dysfunction after Surgery in Patients Treated with Indi-vidualized or Standard Blood Pressure Management—Reply. The Journal of the American Medical Association, 319, 721-722. [Google Scholar] [CrossRef] [PubMed]
[13] Iavazzo, C., Iatrakis, G., Iavazzo, P.E., et al. (2020) Elderly Patients with Gynecological Cancer: Is the Management Individualized? Folia Medica, 62, 438-443. [Google Scholar] [CrossRef] [PubMed]
[14] 蔡晓珍, 应莲琴. 下肢动脉硬化闭塞症患者的疼痛护理及效果分析[J]. 中国药物与临床, 2018, 18(11): 2063-2065.
[15] Karamchandani, K., Carr, Z.J. and Bonavia, A. (2018) Or-gan Dysfunction after Surgery in Patients Treated with Individualized or Standard Blood Pressure Management. The Journal of the American Medical Association, 319, 719. [Google Scholar] [CrossRef] [PubMed]

为你推荐