摘要
目的探讨影响全髋关节置换(THA)术后患者疼痛自我管理行为的因素,提出相关护理对策。方法收集200例行THA患者的临床资料,统计术后3 d的疼痛情况以及患者的疼痛自我管理情况,分析影响疼痛的因素,对疼痛程度进行评分,分析其与疼痛自我管理行为的相关性。结果术后疼痛自我管理行为总分为20.00分(15.00~30.00分),得分偏低。患者性别、生活地区、文化程度、是否24 h家属陪同是术后疼痛自我管理行为的影响因素,THA术后疼痛程度与疼痛自我管理行为评分均呈负相关(P<0.01)。结论 THA患者术后疼痛控制不佳,自我管理能力差,应在术前指导患者提高疼痛自我管理能力,以更有效地控制术后疼痛。
Objective To investigate the influencing factors of self-management behavior on pain control after total hip arthroplasty( THA) and provide related nursing measures. Methods To observe the pain degree of 200 patients at 3 days after THA. The influential factors of self-management behavior and the correlation between the degree of pain and self-management behavior was analyzed. Results The total score of postoperative pain self-management behavior was20. 00( 15. 00 ~ 30. 00),which was in a lowlevel. Patients ' gender,living place,educational level and whether they were accompanied by family members for 24 hours were related to postoperative pain self-management behaviors( P < 0. 05). The postoperative pain degree was negative correlated with pain self-management behaviors( P < 0. 01). Conclusion THA patients have poor postoperative pain control and poor self-management ability. Patients should be instructed to improve pain self-management ability before surgery or to control postoperative pain more effectively.
出处
《中西医结合护理（中英文）》
2018年第1期99-102,共4页
Journal of Clinical Nursing in Practice
关键词
全髋关节置换术
疼痛管理
自我管理
评估
关节炎
total hip arthroplasty
pain management
self management
assessment
arthritis
