围手术期疼痛教育对跟骨骨折患者疼痛认知及疼痛控制影响的效果分析  

Effect of perioperative pain education on pain perception and pain control of patients with calcaneal fractures

作　　者：邱静芝[1] 田庆显[2] 

机构地区：[1]浙江省舟山市中医骨伤联合医院住院部三楼手术室,浙江舟山316000 [2]首都医科大学附属北京朝阳医院骨科,北京100043

出　　处：《中国现代医生》2015年第5期121-124,共4页China Modern Doctor

基　　金：国家自然科学基金(81071515/H0610)

摘　　要：目的探讨跟骨骨折患者实施围手术期疼痛教育后对疼痛认知及疼痛控制的影响。方法回顾性分析我院收治住院的119例跟骨骨折患者,按就诊顺序分为两组:观察组60例实施个体化疼痛健康教育,对照组59例实施口头健康教育。比较两组的认知情况、疼痛控制满意度、术后各时间点疼痛评分及术后不同镇痛需求。结果观察组患者对疼痛的认知情况、疼痛控制满意度、疼痛评分、SAS及SDS评分均优于对照组,术后非甾体类镇痛药、弱阿片类镇痛药及呼叫疼痛次数与对照组比较均较高(P<0.05)。结论跟骨骨折患者实施疼痛教育后,其疼痛认知提高,且能有效控制术后疼痛。Objective To investigate the effect of perioperative pain education on pain perception and pain control of patients with calcaneal fractures. Methods The clinical data of 119 cases with calcaneal fractures collected in our hospital were retrospective analyzed, they were divided into two groups according to the treatment order, the observation group（60 cases） were given individualized pain health education, the control group（59 cases） were implemented oral health. The cognitive situation, satisfaction with pain control, postoperative pain scores at each time point and different postoperative analgesic needs of two groups were compared. Results The perception of pain, the pain control satisfaction, pain scores, SAS and SDS scores of the observation group were better than the control group, the postoperative non-steroidal analgesics, opioid analgesics and weak pain call the number of the observation group were significantly higher than that of the control group（P〈0.05）. Conclusion Pain education for patients with calcaneal fractures can improve the patient＇s pain perception, effective control of postoperative pain.

关 键 词：跟骨骨折 疼痛教育 疼痛认知 疼痛控制 

分 类 号：R473.6[医药卫生—护理学]