Abstract: ［Abstract］ Objective To explore the effects of painless concept on postoperative pain and satisfaction in patients undergoing urological ambulatory surgery. Methods 100 patients with urological outpatient surgery in the outpatient department of the Affiliated Hospital of Guangdong Medical University from January 2017 to January 2019 were selected for the study and were divided into control group and observation group according to the odd and even visiting order （each n=50）. Control group was given routine nursing， and observation group was given painless concept nursing on the basis of control group. The postoperative pain， comfort at 2 h after surgery， postoperative hospital stay and satisfaction were compared between the two groups. Results The numerical rating scale （NRS） score at 30 min after surgery was not significantly different from that in control group （P>0.05）， and the NRS scores were lower than those in control group at 1 h， 1.5 h and 2 h after surgery （P<0.05）. The physiological comfort score， psychological comfort score and total comfort score in observation group were significantly higher than those in control group （P<0.05）. The postoperative satisfaction in observation group was higher than that in control group （P<0.05）. The postoperative hospital stay in observation group was shorter than that in control group （P<0.05）. Conclusion Painless concept can reduce postoperative pain and improve comfort and patient satisfaction in patients undergoing urological outpatient surgery.

Key words: painless concept, urological surgery, pain, satisfaction, outpatient surgery

摘要： ［摘要］ 目的 探讨无痛理念对泌尿外科门诊手术患者术后疼痛及满意度的影响。方法 将2017年1月至2019年1月广东医科大学附属医院门诊部100例泌尿外科门诊手术患者作为研究对象，根据就诊单双顺序分为对照组与观察组（均n=50），对照组给予常规护理，观察组在对照组基础上实施无痛理念护理，比较两组术后疼痛情况、术后2 h舒适度、术后留院时间和满意度。结果 观察组术后30 min数字评价量表（NRS）评分与对照组无显著差异（P>0.05），术后1 h、术后1.5 h和术后2 h NRS评分均低于对照组（P<0.05）；观察组术后2 h生理舒适评分、心理舒适评分和舒适度总分均显著高于对照组（P<0.05）；观察组术后满意度高于对照组（P<0.05）；观察组术后留院时间短于对照组（P<0.05）。结论 无痛理念可减轻泌尿外科门诊手术患者术后疼痛，提高舒适度和患者满意度。

关键词: 泌尿外科, 疼痛, 满意度, 门诊手术, 无痛理念