摘要
目的 探讨输尿管结石患者术后疼痛灾难化情况及其影响因素,并根据影响因素制定护理措施。方法 选择2022年8月-2024年8月医院收治的330例行手术治疗的输尿管结石患者作为调查对象,收集其一般资料及相关病历资料,经资料收集后,最终资料完整可用病例307例,回收率93.03%。采用疼痛灾难化量表(PCS)评价其术后疼痛灾难化情况,采用健康状况问卷(SF-36)评价其生活质量,采用视觉模拟评分法(VAS)评价其疼痛情况,分析输尿管结石患者术后疼痛灾难化的影响因素。结果 输尿管结石患者PCS评分为45.85±3.88分,SF-36评分为73.41±5.80分;VAS评分为6.50±1.83分。患者生活质量评分与其疼痛灾难化总分呈负相关(P<0.05),患者疼痛水平则与其疼痛灾难化情况呈正相关(P<0.05)。多元线性回归分析显示,SF-36评分、VAS评分、年龄、病程及在职情况为影响输尿管结石患者术后疼痛灾难化的因素(P<0.05)。结论 输尿管结石患者术后疼痛灾难化水平整体较高,生活质量、疼痛水平、年龄、病程、在职情况为输尿管结石患者术后疼痛灾难化的影响因素,护理人员可从上述方向出发,改进护理方案,调整患者心态,提升生活质量。
Objective To explore the postoperative pain catastrophizing and its influencing factors in patients with ureteral stone,and to develop nursing measures based on the influencing factors.Methods A total of 330 patients with ureteral stones who underwent surgical treatment at the hospital from August 2022 to August 2024 were selected as the study subjects.Their general information and relevant medical records were collected.After data collection,307 cases with complete and available data were included.The response rate was 93.03%.The Pain Catastrophizing Scale(PCS)was used to evaluate postoperative pain catastrophizing,Short Form 36 Health Survey Questionaire(SF-36)was applied to evaluate quality of life,and Visual Analogue Scale(VAS)was used to evaluate pain levels.The influencing factors of postoperative pain catastrophizing in patients with ureteral stones were analyzed.Results The PCS score for patients with ureteral stones was 45.85±3.88 points,the SF-36 score was 73.41±5.80 points,and the VAS score was 6.50±1.83 points.The patients'quality of life score was negatively correlated with their total pain catastrophizing score(P<0.05),while the patients'pain level was positively correlated with their pain catastrophizing status(P<0.05).Multiple linear regression analysis showed that the SF-36 scores,VAS scores,age,disease duration,and employment status were factors influencing postoperative pain catastrophizing in patients with ureteral stones(P<0.05).Conclusion The overall level of postoperative pain catastrophizing in patients with ureteral stones is high.Quality of life,pain level,age,disease duration,and employment status are influencing factors of postoperative pain catastrophizing in patients with ureteral stones.Nursing staffcan improve nursing plans,adjust patients'mentality,and improve their quality of life based on the above aspects.
作者
黄恋
姜淑珍
黄丽莎
段银凤
藏丽梅
HUANG Lian;JIANG Shuzhen;HUANG Lisha;DUAN Yinfeng;ZANG Limei(Yingtan 184th Hospital,Yingtan 335000,China)
出处
《护理实践与研究》
2025年第10期1482-1487,共6页
Nursing Practice and Research
基金
鹰潭市科学技术局科技计划项目(编号:Ykz2023070)。
关键词
输尿管结石
术后疼痛
疼痛灾难化
生活质量
相关性
Ureteral calculi
Postoperative pain
Pain catastrophizing
Quality of life
Correlation
