基于eCASH理念的规范化疼痛评估护理对结直肠手术患者术后疼痛的影响 |
| 曹晓枫 |
| 北京市第六医院 肿瘤及普外，北京，100070 |
| 摘要：目的 探讨基于舒适化浅镇静策（eCASH）理念的规范化疼痛评估护理在采用患者自控静脉镇痛（PCIA）的结直肠手术患者中的应用效果。方法 前瞻性选取 2022 年 5 月-2024 年 8 月于本院行腹腔镜结直肠手术的 102 例患者随机分为两组，接受常规围术期镇痛护理的患者纳入常规组，接受基于eCASH 理念的规范化疼痛评估护理的患者纳入 eCASH 组。比较两组术后不同时间镇痛效果，比较两组术后 PCIA 按压次数、口服镇痛药物用量、预后恢复情况，比较干预前后两组疾病认知水平、焦虑状态。结果 eCASH 组术后不同时间 VAS 评分、PCIA 按压次数、口服镇痛药物用量、预后恢复时间均低于常规组（P＜0.05）；干预后两组疾病认知水平较干预前均上升，且 eCASH 组高于常规组（P＜0.05）；干预后两组 STAI 较干预前均降低，且 eCASH 组低于常规组（P＜0.05）。结论 基于 eCASH 理念的规范化疼痛评估护理能改善结直肠手术患者术后镇痛效果，避免镇痛药物滥用，并有效优化患者术后康复进程。 |
| 关健词：eCASH 理念；规范化疼痛评估；结直肠手术；PCIA 镇痛 |
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| The Impact of Standardized Pain Assessment Nursing Based on the eCASH Concept on Postoperative Pain in Patients Undergoing Colorectal Surgery |
| Xiaofeng Cao |
| Department of Oncology and General Surgery, Beijing Sixth Hospital, Beijing 100070, China |
| Abstract: Objective To explore the application effect of standardized pain assessment nursing based on the Enhanced Recovery After Surgery (ERAS)-focused Comfort and Analgesia, Minimized Sedation, and Hemodynamic stability (eCASH) concept in patients undergoing colorectal surgery who receive Patient-Controlled Intravenous Analgesia (PCIA).Methods A total of 102 patients who underwent laparoscopic colorectal surgery in our hospital from May 2022 to August 2024 were prospectively selected and randomly divided into two groups. Patients who received routine perioperative analgesic nursing were included in the conventional group, while those who received standardized pain assessment nursing based on the eCASH concept were included in the eCASH group. The analgesic effects at different postoperative time points, the number of postoperative PCIA presses, the dosage of oral analgesics, and postoperative recovery outcomes were compared between the two groups. Additionally, the patients’ disease-related knowledge level and anxiety status before and after the intervention were compared.Results The Visual Analogue Scale (VAS) scores at different postoperative time points, the number of PCIA presses, the dosage of oral analgesics, and the postoperative recovery time in the eCASH group were all lower than those in the conventional group (P < 0.05). After the intervention, the isease-related knowledge level of both groups increased compared with that before the intervention, and the level in the eCASH group was higher than that in the conventional group (P < 0.05). The State-Trait Anxiety Inventory (STAI) scores of both groups decreased after the intervention, and the score in the eCASH group was lower than that in the conventional group (P < 0.05). Conclusion Standardized pain assessment nursing based on the eCASH concept can improve the postoperative analgesic effect in patients undergoing colorectal surgery, avoid the abuse of analgesic drugs, and effectively optimize the patients’ postoperative rehabilitation process. |
| Keywords：eCASH concept; standardized pain assessment; colorectal surgery; PCIA analgesia |
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