5A干预对膝关节置换术患者疼痛与自我效能的影响  

Effect of 5A intervene on in patients with knee replacement

作　　者：李玲[1] 刘璇 李晴 魏春皊 徐莉[2] LI Ling;LIU Xuan;LI Qing;WEI Chun-ling;XU Li(Department of Orthopaedics;Operating Room,Taihe County People＇s Hospital,Taihe 236600,China)

机构地区：[1]安徽太和县人民医院骨科,安徽太和236600 [2]安徽太和县人民医院手术室,安徽太和236600

出　　处：《现代医学》2018年第8期966-969,共4页Modern Medical Journal

摘　　要：目的:探究应用5A干预对膝关节置换术患者疼痛和自我效能的影响。方法:选取2014年7月-2017年7月于医院接受治疗的膝关节置换术患者86例,按随机数表法将患者分为对照组和观察组,每组各43例。对照组患者接受常规护理干预,观察组患者在对照组的基础上应用5A干预,在干预前后应用自我效能量表对患者自我效能进行测评并比较,干预后对患者疼痛和满意度进行测评并比较。结果:干预前对照组和观察组自我效能量表评分分别为:2. 53±0. 61、2. 55±0. 64,干预后两组自我效能量表评分分别为:2. 81±0. 70、3. 36±0. 67,干预后两组患者自我效能量表评分比较有统计学意义(P <0. 05);干预后对照组患者疼痛情况:轻度疼痛14例(32. 6%)、中度疼痛12例(27. 9%)、重度疼痛17例(39. 5%)和疼痛量表评分6. 95±1. 36,观察组患者疼痛情况:轻度疼痛19例(44. 2%)、中度疼痛18例(41. 9%)、重度疼痛6例(13. 9%)和疼痛量表评分4. 28±1. 53,两组患者疼痛情况比较有统计学意义(P <0. 05);对照组患者满意度情况:对照组患者满意度情况:非常满意8例(18. 6%)、比较满意24例(55. 8%)、基本满意8例(18. 6%)、不满意3例(7. 0%)和满意度74. 4%,观察组患者满意度情况:非常满意14例(32. 6%)、比较满意25例(58. 1%)、基本满意4例(9. 3%)、不满意0例(0%)和满意度90. 7%,两组患者满意度情况比较有统计学意义(P <0. 05)。结论:膝关节置换术患者应用5A干预能够有效缓解疼痛,提高患者的自我效能,改善患者满意度。Objective： To explore the effect of 5 A intervene on pain in patients undergoing knee arthroplasty.Methods： 86 patients undergoing knee arthroplasty in the hospital from July 2014 to July 2017 were enrolled in this study. The patients were divided into control group and observation group according to the random number table method. The patients in the control group received routine nursing treatment. The patients in the observation group were treated with 5 A on top of the routine nursing treatment. The self-efficacy scale was evaluated and compared before and after the intervention,also the pain and satisfaction were evaluated and compared. Results： The patient＇s self-efficacy was assessed and compared before and after the intervention,also the patient＇s pain and satisfaction were measured and compared. The self-efficacy scale scores of the control group and the observation group were（ 2. 53 ± 0. 61） and（ 2. 55 ± 0. 64） respectively. After the intervention,the scores of the self-efficacy scale were（ 2. 81 ± 0. 70） and（ 3. 36 ± 0. 67） respectively. After the intervention,14 cases had mild pain（ 32. 6%）,12 cases had moderate pain（ 27. 9%）,17 cases had severe pain（ 39. 5%）,pain score was（ 6. 95 ± 1. 36）.While in the control group： 19 cases had mild pain（ 44. 2%）,18 cases had moderate pain（ 41. 9%）,6 cases had severe pain（ 13. 9%） and pain scale score was 4. 28（ P 0. 05）. The satisfaction rate of the patients in the control group was 74. 4%,it was 90. 7% in the observation group,being statistically significant（ P 0. 05）.Conclusion： Knee arthroplasty patients with 5 A intervention can effectively relieve pain,improve patient selfefficacy and patient satisfaction.

关 键 词：膝关节置换术 疼痛 自我效能 5A干预 

分 类 号：R473.6[医药卫生—护理学]