• 沒有找到結果。

手術前疼痛衛教對改善脊椎術後病人疼痛經驗之成效探討

N/A
N/A
Protected

Academic year: 2021

Share "手術前疼痛衛教對改善脊椎術後病人疼痛經驗之成效探討"

Copied!
2
0
0

加載中.... (立即查看全文)

全文

(1)

手術前疼痛衛教對改善脊椎術後病人疼痛經驗之成效探討

中文摘要

病人對疼痛處置的知識與信念會影響其手術後的疼痛處置結果,因此手術前提供病人適當的疼痛衛

教能幫助病人正確處理其手術後疼痛。本研究的目的即是要探討對脊椎手術病人施予手術前疼痛衛 教對改善術後疼痛經驗之成效。研究採兩組前後測之類實驗設計法( quasi-experimental design ),

於中部某區域教學醫院骨科病房中,針對進行脊椎手術之病人收案。收案之研究對象共 80 人,隨 機分配( random assignment )至( 1 )控制組 40 人:接受病房護理人員的手術前常規照護( 2 ) 實驗組 40 人:接受研究者給予之手術前常規照護及手術前疼痛衛教之介入措施。成效評值包括以 部分修正之美國疼痛協會病人結果問卷( American Pain Society Patient Outcome Questionnare-Modifi ed; APS-POQ-Modified )( APS, 1995 )比較兩組手術後疼痛強度、疼痛干擾程度、疼痛處置滿意 度及疼痛處置信念之差異,以及比較兩組止痛藥使用劑量(由病人之病歷紀錄收集)之差異。研究 資料以描述性統計、卡方檢定( Chi-square )、 t 檢定及重複測量變異數分析( RM-ANOVA )等 進行分析。

研究結果顯示:( 1 )實驗組接受手術前疼痛衛教介入措施後,手術後最劇烈疼痛強度低於控制組

達統計上顯著差異。( 2 )實驗組手術後疼痛對日常生活、情緒及睡眠的干擾程度低於控制組,達 統計上顯著差異。( 3 )手術後實驗組錯誤疼痛處置信念的改善程度,與控制組達統計上顯著差異。

( 4 )手術後的疼痛處置滿意度及止痛藥使用劑量,兩組間無統計上顯著差異。

本研究結果顯示手術前疼痛衛教可以改善病人不正確的疼痛處置信念,降低病人手術後的最劇烈疼

痛強度及疼痛對日常生活、情緒、睡眠的干擾程度。因此,在臨床上應加強手術前的疼痛衛教,以 改善病人術後的疼痛經驗。

關鍵詞:脊椎手術、手術前疼痛衛教、疼痛經驗。

(2)

The Effects of Preoperative Pain Education on Patients'Pain Experience After Spinal Surgery

英文摘要

Patients’ knowledge and beliefs about pain management may contribute to pain outcomes after surgery. Th erefore, preoperative pain education is considered to be an important tool in helping patients to manage pai n after surgery. This study proposed to evaluate a preoperative pain education program to improve patients

’ pain experience after spinal surgery. The study is a quasi-experimental design with two groups pre-test an d post-test comparison. Subjects were chosen from one orthopedic ward in a region medical teaching hospi tal in middle of Taiwan. Subjects (N=80) were randomly assigned to (1) control group which received routi ne preoperative care by ward nurses (n=40), or (2) experimental group which received routine preoperative care and a preoperative pain education program by researcher. Outcomes were pain intensity, pain interfere nce, satisfaction with pain management, beliefs about pain management, measured by American Pain Socie ty Patient Outcome Questionnare -Modified (APS-POQ-Modified), and the amount of analgesics gathered from the patient’s chart. Data were analyzed by using descriptive statistics, Chi-square, t-test, and repeated measures ANOVA.

The results showed that (1) the intervention of preoperative pain education resulted in statistically significa nt reductions of worst pain intensity after surgery in experimental group compared to control group, (2) su bjects in the experimental group experienced statistically significant reductions of pain interference in gene ral activity, mood, and sleep, compared to control subjects, (3) the misbeliefs about pain management were significantly improved after surgery in experimental group compared to control group, (4) no statistically s ignificant differences were found in the score of satisfaction with pain management, or amount of analgesi cs between the two groups.

In conclusion, the results of this study indicate that preoperative pain education could improve patients’ mi sbeliefs about pain management, reduce the worst pain intensity and pain interference in general activity, mood, and sleep after surgery. Therefore, preoperative pain education should be administered for patients i n clinic to improve patients’ pain experience after sugery.

Key words: spinal surgery, preoperative pain education, pain experience.

參考文獻

相關文件

Animal or vegetable fats and oils and their fractiors, boiled, oxidised, dehydrated, sulphurised, blown, polymerised by heat in vacuum or in inert gas or otherwise chemically

Milk and cream, in powder, granule or other solid form, of a fat content, by weight, exceeding 1.5%, not containing added sugar or other sweetening matter.

First Taiwan Geometry Symposium, NCTS South () The Isoperimetric Problem in the Heisenberg group Hn November 20, 2010 13 / 44.. The Euclidean Isoperimetric Problem... The proof

6 《中論·觀因緣品》,《佛藏要籍選刊》第 9 冊,上海古籍出版社 1994 年版,第 1

The first row shows the eyespot with white inner ring, black middle ring, and yellow outer ring in Bicyclus anynana.. The second row provides the eyespot with black inner ring

refined generic skills, values education, information literacy, Language across the Curriculum (

We explicitly saw the dimensional reason for the occurrence of the magnetic catalysis on the basis of the scaling argument. However, the precise form of gap depends

The continuity of learning that is produced by the second type of transfer, transfer of principles, is dependent upon mastery of the structure of the subject matter …in order for a