Analysis of nursing intervention on pain relieving after ambulatory laparoscopic cholecystectomy_West China Medical Journal

Authors：

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;

Corresponding?author：

DAI Yan, Email: 1846703501@qq.com

Keywords：

Nursing intervention; Day surgery; Laparoscopic cholecystectomy; Pain

DOI：

10.7507/1002-0179.201710091

Video：

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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

1.	姜華, 楊晉東. 羥考酮聯合帕瑞昔布鈉在腹腔鏡膽囊切除術后自控靜脈鎮痛中的應用. 山東醫藥, 2017, 57(10): 62-64.
2.	臧安童, 席小明, 劉軍. 腹腔鏡膽囊切除不過夜日間手術 78 例臨床分析. 中國微創外科雜志, 2016, 16(9): 780-783.
3.	李志超, 王煜, 王小成, 等. 基于快速康復外科理念的疼痛管理模式在日間腹腔鏡膽囊切除術的應用. 華西醫學, 2015, 30(5): 804-807.
4.	戴燕, 彭小華. 快速康復理念在日間腹腔鏡膽囊切除術中的應用. 華西醫學, 2011, 26(8): 1234-1235.
5.	蘇喆, 徐珂嘉, 陶偉民, 等. 快速康復外科理論指導下右美托咪啶術后鎮痛在腹腔鏡膽囊切除術中的應用. 山東醫藥, 2016, 56(34): 48-50.
6.	Andersen LP, Kücükakin B, Werner MU, et al. Absence of analgesic effect of intravenous melatonin administration during daytime after laparoscopic cholecystectomy: a randomized trial. J Clin Anesth, 2014, 26(7):545-550.
7.	Philip BK. Day care surgery: the United States model of health care. Ambul Surg, 2012, 17(4): 81-82.
8.	劉洋, 馬洪升, 李志超, 等. 5520 例日間手術的安全和質量評價. 中國普外基礎與臨床雜志, 2015, 22(12): 1477-1481.
9.	胡建, 許建峰, 劉耿, 等. 不同劑量羥考酮術前用藥對腹腔鏡膽囊切除術后疼痛及炎癥細胞因子的影響. 臨床麻醉學雜志, 2015, 31(10): 941-944.
10.	殷文淵, 王苑, 沈莉麗, 等. 腹橫筋膜阻滯聯合帕瑞昔布鈉對日間腹腔鏡膽囊切除術后鎮痛效果的觀察. 河北醫學, 2016, 22(6): 886-889.
11.	周碧英, 李紅. 護理干預對腹腔鏡膽囊切除術后疼痛及胃腸功能的影響. 河北醫學, 2015, 21(6): 1012-1015.
12.	王輝, 王堅. 加速康復外科理念指導下的日間腹腔鏡膽囊切除術 1 400 例分析. 肝膽胰外科雜志, 2017, 29(1): 6-9.
13.	戴燕, 殷宇. 日間腹腔鏡膽囊切除術后不良反應分類及護理. 華西醫學, 2015, 30(5): 835-836.
14.	廖作富, 陳中皓, 謝江, 等. 快速康復對腹腔鏡膽囊切除術患者的臨床效果研究. 醫學臨床研究, 2017, 34(2): 324-326.
15.	楊月. 腹腔鏡膽囊切除術 82 例早期護理干預效果觀察. 齊魯護理雜志, 2016, 22(6): 85-87.

1. 姜華, 楊晉東. 羥考酮聯合帕瑞昔布鈉在腹腔鏡膽囊切除術后自控靜脈鎮痛中的應用. 山東醫藥, 2017, 57(10): 62-64.
2. 臧安童, 席小明, 劉軍. 腹腔鏡膽囊切除不過夜日間手術 78 例臨床分析. 中國微創外科雜志, 2016, 16(9): 780-783.
3. 李志超, 王煜, 王小成, 等. 基于快速康復外科理念的疼痛管理模式在日間腹腔鏡膽囊切除術的應用. 華西醫學, 2015, 30(5): 804-807.
4. 戴燕, 彭小華. 快速康復理念在日間腹腔鏡膽囊切除術中的應用. 華西醫學, 2011, 26(8): 1234-1235.
5. 蘇喆, 徐珂嘉, 陶偉民, 等. 快速康復外科理論指導下右美托咪啶術后鎮痛在腹腔鏡膽囊切除術中的應用. 山東醫藥, 2016, 56(34): 48-50.
6. Andersen LP, Kücükakin B, Werner MU, et al. Absence of analgesic effect of intravenous melatonin administration during daytime after laparoscopic cholecystectomy: a randomized trial. J Clin Anesth, 2014, 26(7):545-550.
7. Philip BK. Day care surgery: the United States model of health care. Ambul Surg, 2012, 17(4): 81-82.
8. 劉洋, 馬洪升, 李志超, 等. 5520 例日間手術的安全和質量評價. 中國普外基礎與臨床雜志, 2015, 22(12): 1477-1481.
9. 胡建, 許建峰, 劉耿, 等. 不同劑量羥考酮術前用藥對腹腔鏡膽囊切除術后疼痛及炎癥細胞因子的影響. 臨床麻醉學雜志, 2015, 31(10): 941-944.
10. 殷文淵, 王苑, 沈莉麗, 等. 腹橫筋膜阻滯聯合帕瑞昔布鈉對日間腹腔鏡膽囊切除術后鎮痛效果的觀察. 河北醫學, 2016, 22(6): 886-889.
11. 周碧英, 李紅. 護理干預對腹腔鏡膽囊切除術后疼痛及胃腸功能的影響. 河北醫學, 2015, 21(6): 1012-1015.
12. 王輝, 王堅. 加速康復外科理念指導下的日間腹腔鏡膽囊切除術 1 400 例分析. 肝膽胰外科雜志, 2017, 29(1): 6-9.
13. 戴燕, 殷宇. 日間腹腔鏡膽囊切除術后不良反應分類及護理. 華西醫學, 2015, 30(5): 835-836.
14. 廖作富, 陳中皓, 謝江, 等. 快速康復對腹腔鏡膽囊切除術患者的臨床效果研究. 醫學臨床研究, 2017, 34(2): 324-326.
15. 楊月. 腹腔鏡膽囊切除術 82 例早期護理干預效果觀察. 齊魯護理雜志, 2016, 22(6): 85-87.

West China Medical Journal

Analysis of nursing intervention on pain relieving after ambulatory laparoscopic cholecystectomy

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