癌痛患者疼痛知信行水平及影响因素分析  

Analysis of pain knowledge, belief, behavior level and influencing factors of cancer pain patients

作　　者：牛萌 铁万琴 张曦 张月娟[1] Niu Meng;Tie Wanqin;Zhang Xi;Zhang Yuejuan(Second Department of Oncology,General Hospital of Ningxia Medical University,Yinchuan 750004,China;Nursing College of Ningxia Medical University,Yinchuan 750004,China;Nursing Department,General Hospital of Ningxia Medical University,Yinchuan 750004,China)

机构地区：[1]宁夏医科大学总医院肿瘤内二科,银川750004 [2]宁夏医科大学护理学院,银川750004 [3]宁夏医科大学总医院肿瘤医院护理部,银川750004

出　　处：《中国实用护理杂志》2022年第35期2749-2755,共7页Chinese Journal of Practical Nursing

基　　金：宁夏回族自治区重点研发计划项目(2022CMG03082);宁夏回族自治区卫生健康系统科研课题(2021-NW-011);宁夏医科大学总医院新入职硕士培养项目(2020294)。

摘　　要：目的调查癌痛患者疼痛知信行水平,分析影响因素。方法于2021年11月20日采用便利抽样法选择宁夏5个已创建癌痛规范化治疗示范病房的医疗机构癌痛患者176例作为研究对象,运用自行设计并经过信效度检验的癌痛患者疼痛知信行水平调查问卷开展调查。结果本次调查的癌痛患者疼痛知识状况维度得分5.00(4.00,6.00)分,疼痛信念与感知状况维度得分3.00(-3.00,10.00)分,疼痛行为维度得分26.00(24.00,28.00)分。多元线性回归结果显示,经济负担、爆发痛是影响癌痛患者疼痛信念与感知状况的因素(t=-2.96、-3.00,P<0.05)。医疗保险类型、疼痛持续时间是影响疼痛行为状况的因素(t=-2.49、3.21,P<0.05)。结论癌痛患者疼痛知识处于低水平,疼痛负性信念与感知处于中等偏上水平,疼痛行为处于中等水平。建议护理人员以出院计划服务为主线构建癌痛患者全程管理模式,住院期间关注爆发痛和心理状况,通过护理质量评价逐步提升健康教育质量。出院后关注延续性健康教育开展的实用性和长远性,推动癌痛患者的全程管理。Objective To understand the pain knowledge,belief and behavior level of cancer pain patients,analyze the influencing factors.Methods A total of 176 patients with a convenient sampling method selection on November 20,2021 in Ningxia medical institutions that have created cancer pain in the treatment of cancer pain in Ningxia as the research object of cancer pain in medical institutions,and use the"Cancer Pain Pain Incarring Credit Council Cancer Question Question"that is designed and examined by self-examination.Results The pain knowledge dimension score of cancer pain patients in Ningxia was 5.00(4.00,6.00),the belief dimension score was 3.00(-3.00,10.00),and the behavior dimension score was 26.00(24.00,28.00).The results of multiple linear regression showed that financial burden and burst pain were the factors affecting the pain belief and perception of cancer pain patients(t=-2.96,-3.00,both P<0.05).The type of medical insurance and the duration of pain were the factors affecting the behavior of pain(t=-2.49,3.21,both P<0.05).Conclusions Cancer pain patients have a low level of pain knowledge,an upper-middle level of negative pain beliefs and perceptions,and a moderate level of pain behavior.It is recommended that nursing personnel use the discharge plan service as the main line to build a full-process management model of cancer pain.During the hospitalization period,pay attention to the outbreak of pain and psychological conditions,and gradually improve the quality of health education through nursing quality evaluation.After discharge,pay attention to the practicality and long-term development of continuity health education,and promote the full management of patients with cancer pain.

关 键 词：知识 行为 健康教育 癌性疼痛 影响因素分析 信念与感知 

分 类 号：R473.73[医药卫生—护理学]