摘要
目的:了解伤口病人操作性疼痛程度现状,分析伤口操作性疼痛的影响因素以及疼痛程度与疼痛恐惧、心理弹性之间的相互关系。方法:采用方便抽样法,应用自设的一般资料调查表、数字疼痛模拟量表(NRS)、疼痛恐惧问卷(FPQ)和心理弹性量表(CD-RISC)评估病人疼痛程度、疼痛恐惧和心理弹性情况。结果:伤口病人操作性疼痛程度得分为(4.53±1.98)分。病人年龄与疼痛程度均呈正相关(P<0.01),文化程度、伤口持续时间、距上次换药时间与疼痛程度均呈负相关(P<0.01),病人疼痛恐惧与疼痛程度呈正相关,心理弹性与疼痛程度呈负相关(P<0.01)。是否首次换药、疼痛恐惧、心理弹性是疼痛程度的独立影响因素(P<0.01)。结论:伤口病人操作性疼痛程度与疼痛恐惧和心理弹性有着密切的联系,医护人员在对伤口病人进行治疗的同时,还应充分重视其疼痛程度与疼痛恐惧和心理弹性的相互影响。
Objective:To understand the status quo of operative pain in patients with wounds,analyze the influencing factors of operative pain in wounds,and correlation between the pain degree,and pain fear and psychological resilience.Methods:The convenient sampling method was used to evaluate the pain degree,pain fear and psychological resilience of patients using the self-designed general information questionnaire,numerical rating scale(NRS),pain fear questionnaire(FPQ)and Connor-Davidson resilience scale(CD-RISC).Results:The score of operative wound pain degree of patients was(4.53±1.98)points.The age of patients was positively correlated with pain degree(P<0.01),the education level,wound duration and time since the last dressing change were negatively correlated with pain degree(P<0.01).The pain fear was positively correlated with pain degree,and the psychological resilience was negatively correlated with pain degree(P<0.01).The first change of dressing,pain fear and psyschological resilience were the independent influencing factors of pain degree(P<0.01).Conclusions:The pain degree of operative wound of patients is closely related to the pain fear and psychological resilience.Medical staff should pay attention to the mutual influence of pain degree,pain fear and psychological resilience during treating the wound of patients.
作者
赵大业
段晓侠
ZHAO Da-ye;DUAN Xiao-xia(School of Nursing,Bengbu Medical College,Bengbu Anhui 233030;Department of Nursing,The Second Affiliated Hospital of Bengbu Medical College,Bengbu Anhui 233040,China)
出处
《蚌埠医学院学报》
CAS
2021年第4期557-560,F0003,共5页
Journal of Bengbu Medical College
关键词
操作性疼痛
疼痛恐惧
心理弹性
operative pain
pain fear
psychological resilience
