摘要
目的了解患者对术后应用自控硬膜外镇痛(patient-controlled epidural analgesia,PCEA)的认知状况,探讨护理对策。方法自行设计调查问卷,对200例骨科手术患者疼痛、PCEA认知状况及使用意愿进行调查。结果患者对术后疼痛的认知处在较低水平,76.5%的患者认为手术后疼痛是必然的;认为疼痛会对生理、心理造成影响的患者分别为43.0%和62.5%;认为疼痛会影响切口愈合的仅有23.0%。手术前知晓PCEA的患者少,占31.5%;医务人员教育是患者了解PCEA的主要途径(63.5%);患者对PCEA的认知偏差明显,69.0%的患者不能明确PCEA是否会影响切口愈合,19.0%的患者认为会影响切口愈合。PCEA费用高是影响患者使用意愿的重要因素,占70.3%。结论患者对术后疼痛和PCEA的认知状况较低,应提高患者对疼痛的认知,加强PCEA知识宣教及对PCEA的管理,降低医疗费用,使手术后疼痛治疗得以推广。
Objective To understand the understanding status of applying patient-controlled epidural analgesia （PCEA） among patients undergoing orthopedic surgery, and thus to explore the nursing coping strategy. Methods By means of the self-designed questionnaire, a survey was made with 200 orthopedic patients as to their understanding status of pain and PCEA, and their willingness to use it. Results Their understanding of pain after the surgery was low, with 76.5% holding that post-surgery pain was inevitable. Those who were of the opinion that pain could affect their physiology, psychology and the healing of the wound accounted for 43.0% and 62.5%, and 23.0%, respectively. The patients with pre-surgery knowledge about PCEA accounted for 31.5%, and those who held that education by the medical personnel was their major channel of learning about PCEA accounted for 63.5%. There existed significant deviation in their understanding of PECA, with 88.0% uncertain about whether PCEA affects the healing of the wound or holding that it does affect the healing. The high cost of PCEA was the major factor influencing the patients＇ willingness to apply it, with the patients of this view accounting for 70.3%. Conclusion The orthopedic patients＇ understanding of the post- surgery pain and PCEA is poor. Therefore, their understanding in this regard should be enhanced; publicity and education in and management of PECA should be beefed up; the medical cost should be lowered for popularization of the post-surgery pain treatment.
出处
《护理学报》
2009年第20期13-15,共3页
Journal of Nursing（China）
关键词
自控硬膜外镇痛
认知状况
影响因素
护理
patient-controlled epidural analgesia
understanding status
influencing factor
nursing
