The Effect Of Good Pain Management Ward Establishment To The Postoperative Pain Of Patients With Common Bile Duct Stone By ERCP

Objective:To investigate the effect of Good Pain Management Ward Establishment to the patients postoperative pain intensity and pain care satisfaction who have common bile duct stones surgery by ERCP.Methods:This study used a questionnaire survey to facilitate sampling method to select from May to December2012in the Department of Gastroenterology, Shandong Provincial Hospital hospitalized patients with common bile duct stones and stone surgery in84cases as control, select20135patients-12Shandong Provincial Hospital, Department of Gastroenterology at the hospital and choledocholithiasis line lithotripsy for the study of84cases. Research tool for patients general information questionnaire, Brief Pain Inventory (BPI), Pain Care Satisfaction Scale. General survey conducted by researchers refer to literature designed for the general statistics of the patient. Brief Pain Inventory and pain care satisfaction scale widely used at home and abroad, with good reliability and validity. The specific method is selected from May to December2012, Shandong Provincial Hospital Gastroenterology hospitalized patients with common bile duct stones and stone row surgery, preoperative assessment of the patient’s pain30minutes with a digital grading pain (NRS), after24hours of patients issuing general information questionnaire and Brief Pain Inventory, pain care of patients satisfaction Scale issuing discharge.2013January-April of Gastroenterology Nurses knowledge and training to carry out the pain, and improve various rules and regulations painless ward, improve the hardware measures to develop painless ward work program, create a painless idea, fully carry out painless ward. Select from May to December2013in the Department of Gastroenterology, Shandong Provincial Hospital hospitalized patients with common bile duct stones and stone surgery, its painless ward management, and similarly,30minutes before surgery to assess pain in patients with digital grading (NRS) of pain in patients24hours after payment is general information questionnaire and the Brief Pain Inventory, pain care satisfaction Scale issuing patient discharge. The difference between the two groups of patients postoperative pain intensity and pain treatments satisfaction. Data processing, application SPSS16.0data entry and analysis software package to P<0.05indicated a statistically significant difference. Descriptive statistics (mean, standard deviation), t test, chi-square test statistical analysis, Fisher exact probability method to analyze differences in postoperative pain intensity and pain patients were nursing satisfaction.Results:168patients were enrolled in this study, which carried out before and after painless ward84cases,84cases carried painless ward, two groups in age, gender, education, ethnicity, marital status, payment method, place of residence, etc. comparison, the difference was not statistically significant (P>0.05). Specific results are as follows:1.Two groups of patients before a surgery30minutes to assess pain score: painless ward group carried out before (1.18±0.88), after the group carried out a painless Ward (1.19±0.86), t test, showing no significant difference (P>0.05).2. postoperative pain assessed24hours:24hours of the most intense degree of pain, before the commencement of painless ward group (3.70±1.95), after the group carried out a painless Ward (2.92±1.50), t test, Show statistics differences (P<0.05).24hours of pain the slightest degree, the former group to carry out painless Ward (1.23±1.10) After wards to carry out painless group (0.76±0.41), t test, showing statistical differences (P<0.05).24hours average degree of pain, pain prior to the commencement ward group (2.21±1.19), after the group carried out a painless Ward (1.77±0.99), t test, showing statistical differences (P<0.05). The current level of pain in patients with pre-launch painless ward group (1.25±1.07), after the group carried out a painless Ward (0.86±0.49), t test, showing statistical differences (P <0.05). 3. groups of patients compare the pain nursing satisfaction:Overall satisfaction with care compared to prior to the commencement painless ward group (70.30±10.21), to carry out painless ward group (76.89±10.08), by t test, showing statistical differences (P<0.05). From the three dimensions of scale were compared:Trust relationships:compared to the former to carry out painless ward group (34.83±5.49) to carry out painless ward group (37.51±7.66), t test, showing statistical differences (P<0.05), professional and technical capacity:to carry out pre-painless ward group (17.71±4.64). Conduct painless ward group (19.70±3.39), t test, showing statistical differences (P<0.05). Carried out before the relationship between education painless ward group (17.76±4.90), to carry out painless ward group (19.68±3.570), t-test, showing statistical differences (P<0.05).4. Before the commencement of painless ward,84patients, there are four cases of postoperative acute pancreatitis, including two cases of transfer surgery, two cases of conservative treatment to cure; eight cases of the application of analgesic drugs; after conducting painless wards,84patients, there are two cases of postoperative acute pancreatitis,cured by conservative treatment;4patients use postoperative analgesic drugs.Conclusion:to carry out painless wards can significantly reduce common bile duct stones and the line lithotripsy patients with postoperative pain intensity; Conduct painless wards can significantly improve the common bile duct stones and the line lithotripsy patient satisfaction with pain care. Conduct painless ward can reduce the incidence of common bile duct stones in patients with postoperative complications and reduce the proportion of postoperative analgesic drug use.