摘要
目的：了解创伤骨科患者术后疼痛管理满意度状况，分析疼痛管理满意度的影响因素。方法便利抽取56例患者于出院前3d采用“患者对术后疼痛管理的满意度问卷”修订版进行问卷调查。患者疼痛程度评分采用“简易疼痛评估尺”0～10级计量制评分。结果患者围手术期疼痛评分＜5分；患者对疼痛管理的满意度＞4分；影响疼痛管理满意度的主要因素是疼痛评分、镇痛剂的按时应用、疼痛教育、年龄、过去对疼痛的体验。结论创伤骨科患者对术后疼痛管理较为满意；手术后患者疼痛管理满意度受多方面影响。建议针对创伤骨科患者的疼痛特点制定个体化对策，同时实施医生－护理－病患模式的疼痛管理模式，有利于提高创伤骨科患者疼痛管理的满意度。
Objective knowing the satisfaction on pain control by trauma orthopedic postoperative patients and discussing the factors of influ- encing pains and controlling satisfaction. Methods conducting convenient sample survey on the patients by adopting a revised edition of ＇ sat- isfaction questionnaire on pain management postoperation by the patient＇ in a three -dimensional manner before the patient leaves hospital, and 56 patients are surveyed. The pain degrees of the patients are graded by adopting a 1 - 10 level metering system, namely ＇ a simple pain assessment ruler＇. The surveyed data are subjected to descriptive analysis, unitivariate analysis and multiple linear regression analysis by a- dopting a SPSS11.0 software package. Results the pain during the operation graded by the patient is less than 5 points ; the satisfaction on the pain management by the patient is larger than 4 points ; variance analysis results display that the factors influence the pain control satisfac- tion are that ： pain grading, on - time pain - killer taking, pain education, the times for operation, gender, age, cultural background and the origi- nal experience on pain. Conclusion the trauma orthopedic patients are more satisfied on the pain control postoperation; and pain grading, on - time pain - killer taking and pain education are the main factors of influencing the satisfaction on pain control by trauma orthopedic postop- erative patients. It is suggested to establish a postoperative acute pain control management mode,which is participated by head of department, orthopedist, nurse, patient and team consisting of family members, and the pain management mode is converted to doctor - nursing - patient mode ; secondly, integrated, systematized and standardized management system, standard, flow and guidance are established, staff structure, la- bor division,staff responsibility, staff training and working procedure are regulated specifically, the pain education is enhanced, continuous quality control is simuhaneously conducted, the postoperative pain control quality is improved, and the satisfaction on pain control by the post- operative patients is increased.
基金
国家临床重点专科-专科护理建设项目资助
关键词
疼痛
骨科
手术后
疼痛管理
Pain
Orthopaedic department
postoperative
Pain management
Patient satisfaction
