术前疼痛认知教育对骨科手术患者术前负性情绪和术后疼痛的影响

The influence of the preoperative pain education for orthopaedic surgery patients in terms of changing patients preoperative negative emotions and postoperative pain

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(6)
作者
作者单位

西安医学院第二附属医院骨科 ;
西安医学院第二附属医院神经内一科 ;

摘要
【摘要】 探讨骨科手术患者应用术前疼痛认知教育对患者术后疼痛的影响及术前负性情绪的改善作用。方法 对2014年1月-2015年12月我院骨科收治的180例择期行手术治疗的患者进行观察,通过随机数字表法将患者分为观察组和对照组,每组各90例。观察组采用术前疼痛认知教育,对照组采用术前常规护理。采用VAS、SAS、SDS评分分别评定患者疼痛程度、心理状态,观察两组患者术前的心理状态、术后疼痛情况。结果 观察组患者术前一天的SAS、SDS评分明显低于对照组;观察组术后重度疼痛患者、焦虑发生率、抑郁发生率明显低于对照组,各组数据差异有统计学意义(P<0.05)。结论 对骨科手术患者进行术前疼痛认知教育可以减轻患者的疼痛感,提高患者的舒适度和满意度,帮助患者树立健康的心态,值得推广。
Abstract
Abstract Objective:To discuss the clinical value of the preoperative pain education for orthopaedic surgery patients in terms of changing patients preoperative negative emotions and postoperative pain.Method Obsrving the 180 cases of patients at the department of orthopaedics in our hospital who were begining selective operation during 2014,Jan to 2015,Dec.By using random number table method to divid all the patients into the observation groupp and the control group,every group has 90 cases of patients. the observation group by using the preoperative pain education to nersing,the control group by using preoperative conventional nersing.By using VAS、SAS、SDS rating scale to evaluate the degree of pain, psychological states of patients .To observe the mend matters of two patients in the degree of pain, psychological states. Resut The SAS、SDS rating scale in the observation group before preoperative day is obviously lower than the control group;the severe pain patients,the incidence of anxiety,the incidence of depression in the observation groupp is obviously sly lower than the control group ,the difference data in each group is meaningful(p<0.05) .Conclusion Giving the orthopaedic surgery patients for the preoperative pain education to nursing can reduce the degree of pain of patients,improving patients comfortable and satisfaction,Helping patients to get healthy mentality,it has highlapplication valuable.
关键词
【关键词】骨科手术患者;术后疼痛;负性情绪;术前疼痛认知教育
KeyWord
Key words: the orthopaedic surgery patients; preoperative pain;negative emotions;the preoperative pain education
基金项目
页码 1096-1099
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潘亚英,程艳琪,张萍,王华,张兵*. 术前疼痛认知教育对骨科手术患者术前负性情绪和术后疼痛的影响 [J]. 国际精神病学杂志. 2016; 43; (6). 1096 - 1099.

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