Büyükyilmaz Funda Esen, Şendir Merdiye, Acaroğlu Rengin
Istanbul University, Istanbul, Turkey.
Clin Nurs Res. 2011 Aug;20(3):326-42. doi: 10.1177/1054773811406110. Epub 2011 Apr 26.
This descriptive, correlational study was conducted to determine orthopedic patients' night-time pain characteristics, their quality of sleep and the contributing factors to poor sleep experiences, and the relationship between pain and sleep. Data were collected by using the McGill Pain Questionnaire-SF (MPQ-SF) and Pittsburgh Sleep Quality Index (PSQI) on the second postoperative day. Data were analyzed using the SPSS version 10.0 for Windows. Mean age of the 75 patients was 49.55 ± 21.10 years and were hospitalized in the orthopedic wards for 10.56 ± 14.74 days. Of the sample, 65.3% were female and 36% had hip/knee arthroplasty surgery. Pain (45%) and noise (23%) were found to be the most cited factors affecting the sleep of patients in postoperative periods. They experienced "external" pain at the surgical site and verbalized their pain as "stabbing" and "tiring-exhausting." Patients' night-time pain was determined to be severe (6.59 ± 1.62); their quality of sleep was also poor (9.24 ± 3.53). A statistically significant correlation was found between patients' pain intensity and quality of sleep (p≤.05).
本描述性相关性研究旨在确定骨科患者的夜间疼痛特征、睡眠质量以及导致睡眠体验不佳的因素，以及疼痛与睡眠之间的关系。术后第二天，使用麦吉尔疼痛问卷简表（MPQ-SF）和匹兹堡睡眠质量指数（PSQI）收集数据。使用适用于Windows的SPSS 10.0版对数据进行分析。75名患者的平均年龄为49.55±21.10岁，在骨科病房住院10.56±14.74天。样本中，65.3%为女性，36%接受了髋/膝关节置换手术。疼痛（45%）和噪音（23%）被发现是术后影响患者睡眠的最常提及因素。他们在手术部位经历“外部”疼痛，并将疼痛描述为“刺痛”和“疲惫不堪”。患者的夜间疼痛被确定为严重（6.59±1.62）；他们的睡眠质量也很差（9.24±3.53）。患者的疼痛强度与睡眠质量之间存在统计学显著相关性（p≤0.05）。
