【摘要】 目的了解术后疼痛控制状况,找出存在的问题,从而为制定有效的疼痛控制措施提供依据,提高手术后疼痛控制质量。方法采用多阶段抽样方法,随机抽取本院普外科、胸外科、妇产科接受手术的患者,采用休斯顿疼痛情况量表及疼痛治疗指数评估表对符合入选标准的240例手术后应用镇痛泵(芬太尼0.6mg、布比卡因300mg、氟哌啶5mg)第2天的住院患者进行疼痛控制状况的问卷调查,问卷由休斯顿疼痛情况调查表、疼痛治疗指数和病历组成。结果术后患者时疼痛控制总体满意度平均评分为7.3,疼痛控制教育、医生对疼痛的处理、疼痛减轻、患者受到的所有针时疼痛的照料、医生或护士是否告诉患者要优先有效地控制疼痛以及手术次数共6个因素是影响疼痛控制满意度的主要因素。结论患者对术后疼痛控制较为满意;疼痛控制服务因素是影响手术后患者疼痛控制满意度的主要因素。更多还原

【Abstract】 Objective The purpose of this study was to evaluate the patient satisfaction with postoperative pain management,find existed problem,then search effective pain interventions and improve the quality of postoperative pain management.Methods Using a multistage sampling scheme,240 inpatients on their second postoperative day in ZaoZhuang Principal Hospital were recruited to complete a questionnaire,which was composed of the Houston Pain Outcome Instrument(HPOI),the Pain Management Index and a demographic form.Results Mean rating for general satisfaction with pain management was 7.3(0 to 10 point scale).It was found that general satisfaction with pain management could be predicted by 6 factors;satisfaction with education about pain management,pain relief,the care offered by doctors for the pain,overall care for pain,whether doctor or nurse explained that providing good pain management was a priority of the patient,and patient individual characteristic such as times of operation.Conclusions Patients were satisfied with postoperative pain management.Services about pain management were the main influence factors.更多还原