成年烧伤患者疼痛经历的质性研究  

Qualitative research on pain experiences of adult burn patients _ I

作　　者：李琳[1] 潘琼[1] 许乐[2] 林仁琴 戴嘉喜 陈昭宏[1] 

机构地区：[1]福建医科大学附属协和医院烧伤科,福州350001 [2]福建医科大学附属协和医院护理部,福州350001

出　　处：《中华烧伤杂志》2018年第3期165-170,共6页Chinese Journal of Burns

基　　金：国家临床重点专科建设项目（卫办医政函[2012]649号、国卫办医函[2013]544号）;福建省卫生计生委青年科研课题（2014-1-44）

摘　　要：目的探讨成年烧伤患者的疼痛经历，为制订切实可行的镇痛措施奠定基础。方法采用质性研究中的现象学研究方法，针对从烧伤即刻到出院3-7个月的疼痛感受，对2015年5—11月笔者单位烧伤科收治的12例成年烧伤患者进行半结构式访谈，并采用Colaizzi分析法对访谈资料进行分析、归纳、提炼主题。结果成年烧伤患者疼痛经历共析出6个主题：疼痛体验深刻、心理负担沉重、日常生活受限、疼痛评估处置欠佳、疼痛归因方式不同、疼痛应对方式各异。结论烧伤疼痛给患者的生理、心理及日常生活造成负性影响，而医护人员及患者自身对疼痛的处理方式是影响患者疼痛体验的关键因素。因此，应根据疼痛管理现状的不足，从医护人员及患者2个角度出发，开展针对性的镇痛干预措施。Objective To explore the pain experiences of adult burn patients so as to lay foundation for practical analgesic measures. Methods Using phenomenologieal method in qualitative research, semi- structured interviews were conducted on 12 adult burn patients hospitalized in our burn units from May to No- vember 2015, aiming at pain experiences from immediately after burns to 3 to 7 months after being dis- charged from hospital. Then the Colaizzi＇s analysis method was applied to analyze, induce, and refine themes of interview data. Results After analysis, pain experiences of adult burn patients were generalized into 6 themes： deep pain experiences, heavy psychological burden, limited daily life, poor assessment and treatment of pain, different attributions of pain, and different ways of coping of pain. Conclusions Burn pain brings harm to the patients＇ physiology, mentality, and daily life. Nevertheless, pain processing modes of medical staff and patients themselves are the key factors affecting patients＇ pain experiences. Therefore, according to the deficiency of current situation of pain management, the targeted analgesic intervention measures should be carried out from the perspectives of medical staff and patients.

关 键 词：烧伤 疼痛 质性研究 

分 类 号：R644[医药卫生—外科学]