Municipality of Tidaholm, Midgård Retirement, Tidaholm, Sweden.
J Clin Nurs. 2010 Oct;19(19-20):2832-8. doi: 10.1111/j.1365-2702.2010.03215.x.
The aim of this study was to describe patients' experience of pain and pain relief following hip replacement surgery.
Annually, many patients undergo hip replacement surgery. Previous research has focused largely on the long-term effects on pain for patients who undergo hip replacement surgery and to a lesser degree on their subjective, early postoperative pain experience.
A descriptive qualitative design was used.
The study was carried out in an orthopaedic ward at a hospital in Sweden during 2006. Qualitative interviews were conducted with 15 patients who had undergone hip replacement surgery. Data were analysed by means of qualitative content analysis.
The postoperative pain experience was characterised in terms of interrelated contexts of time, various bodily activities and postoperative pain intensity. The postoperative pain intensity was characterised in terms of intensive and worst imaginable, strange feelings and fear and a feeling of faintness. Easing of postoperative pain was related to professional care features, such as nursing staff, pharmacological pain relief and technical aids. Self-care features were related to relieving body positions, endurance and looking ahead.
Although the development of total hip replacement surgery has been very successful, there are issues that need to be addressed in relation to postoperative pain management. The findings in this study show that there are reasons for making a more concerted effort to develop postoperative pain management, particularly during the first few days after surgery.
The results provide some indication that pain management for this group of patients in the early postoperative period needs to be improved to reduce the fear of moving and improve the process of regaining independence. Devoting more attention to the patients during the initial postoperative phase may be the key to improve the training and making it even more effective.
本研究旨在描述髋关节置换术后患者的疼痛体验和疼痛缓解情况。
每年有许多患者接受髋关节置换手术。先前的研究主要集中在接受髋关节置换手术的患者的长期疼痛影响上，而对他们术后早期的主观疼痛体验关注较少。
采用描述性定性设计。
本研究于 2006 年在瑞典一家医院的骨科病房进行。对 15 名接受髋关节置换手术的患者进行了定性访谈。通过定性内容分析对数据进行分析。
术后疼痛体验的特点是与时间、各种身体活动和术后疼痛强度相关的相互关联的背景。术后疼痛强度的特点是强烈和难以想象的、奇怪的感觉和恐惧以及头晕的感觉。缓解术后疼痛与专业护理特征有关，如护理人员、药物缓解疼痛和技术辅助。自我护理特征与缓解身体姿势、耐力和展望未来有关。
尽管全髋关节置换手术的发展非常成功，但在术后疼痛管理方面仍存在一些需要解决的问题。本研究的结果表明，有理由更加努力地开发术后疼痛管理，特别是在手术后的头几天。
研究结果表明，这群患者在术后早期的疼痛管理需要改善，以减少对移动的恐惧并改善恢复独立的过程。在初始术后阶段更多地关注患者可能是改善培训并使其更有效的关键。
