阶段转变模型在腰椎间盘突出症患者疼痛自我管理教育中的应用研究  

Application of stages of change model in self-management education for patients suffering from lumbar disc herniation

作　　者：尹心红[1] 王慧荣[2] 王志敏[3] 刘芬[2] 李文菁[2] 骆永梅[2] 周丽[4] 

机构地区：[1]南华大学附属第二医院护理部,湖南省衡阳市421001 [2]南华大学护理学院 [3]南华大学附属第二医院疼痛康复科,湖南省衡阳市421001 [4]南华大学附属第二医院肿瘤外科,湖南省衡阳市421001

出　　处：《中华护理杂志》2014年第6期658-660,共3页Chinese Journal of Nursing

摘　　要：目的探讨基于阶段转变模型的护理干预对社区腰椎间盘突出症患者疼痛自我管理的影响。方法对62例腰椎间盘突出症患者根据其所处的疼痛自我管理阶段给予相应的干预措施。结果干预3个月后,患者疼痛评分(3.42±0.79)分,疼痛自我效能评分(77.0±10.42)分;思考期0例,思考前期3例,行动期40例,维持期19例,同干预前比较,差异有统计学意义(P<0.05)。结论阶段转变模型的应用可提高腰椎间盘突出症患者疼痛自我效能和自我管理能力,降低疼痛。Objective To investigate effects of the nursing interventions based on stages of change model applied in pain self-management education for community patients with lumbar disc herniation. Methods A total of 62 patients with lumbar disc herniation were received pain self-management education according to the stages of change model. Results After 3 months of intervention,the patients＇ VAS score averaged（3.42±0.79）,pain self- efficacy score averaged （77.0±0.42）.None was in the precontemplation,3 patients in the contemplation stage,40 in the action and 19 in the maintenance stage,with significant difference as compared with before intervention（P〈0.05）. Conclusion Aimed at patients＇ attitudes and action towards pain self-management,targeted individualized health guidance could improve patients ,pain self-management ability and pain self-efficacy ,and reduce the patients ,pain.

关 键 词：椎间盘移位 模型 理论 疼痛 自我护理 健康教育 

分 类 号：R473.6[医药卫生—护理学]