Tocher Jennifer M
Nursing Studies, School of Health in Social Science, Medical School, University of Edinburgh, Edinburgh, UK.
J Clin Nurs. 2014 Feb;23(3-4):421-8. doi: 10.1111/jocn.12268. Epub 2013 Jul 12.
To establish what patients' expectations of postoperative pain were when undergoing open surgical repair of abdominal aortic aneurysm. A review of the relevant literature highlighted the fact that there had been no such studies conducted within a similar such homogenous group. Therefore, this study aimed to explore pain expectations prospectively and then compare these with the patients' actual experiences.
It has long been established that high levels of satisfaction with pain management are very often reported in patients despite suffering from severe to moderate levels of pain. The reasons for these high satisfaction levels are not always as clear, although it is suggested that patients have an expectation of postoperative pain.
The study set out to establish what expectations of pain patients had and the factors that might influence them within the abdominal aortic aneurysm subject group. A mixed methods approach was used.
Pain expectations were gathered preoperatively using a Likert scale of pain scoring. These were then compared with the recorded postoperative pain scores. This was followed by a semi-structured interview.
The study illustrated that patients expected to have postoperative pain as a natural consequence of their operations. Patients appeared to draw upon their previous experiences. Pain expectation levels were statistically significant, 60% of patients expected to have pain postoperatively.
This study demonstrated that patients expect to have postoperative pain. Such expectations might influence the individual's relationship and experience of their postoperative management.
The study highlights the need for nurses to evaluate the preoperative information given to patients and to listen to expectations they voice. Patient expectations of pain are sometimes that they expect to have pain, and it is the management of this pain that makes a difference to them.
确定患者在接受腹主动脉瘤开放手术修复时对术后疼痛的期望。对相关文献的回顾突出了这样一个事实，即在类似的同质群体中尚未进行过此类研究。因此，本研究旨在前瞻性地探索疼痛期望，然后将其与患者的实际经历进行比较。
长期以来已经确定，尽管患者遭受中度至重度疼痛，但他们对疼痛管理的满意度往往很高。这些高满意度的原因并不总是很清楚，尽管有人认为患者对术后疼痛有预期。
该研究旨在确定腹主动脉瘤患者群体对疼痛的期望以及可能影响这些期望的因素。采用了混合方法。
术前使用李克特疼痛评分量表收集疼痛期望。然后将这些与记录的术后疼痛评分进行比较。随后进行了半结构化访谈。
该研究表明，患者预期术后疼痛是手术的自然结果。患者似乎借鉴了他们以前的经验。疼痛期望水平具有统计学意义，60%的患者预期术后会疼痛。
本研究表明患者预期术后会疼痛。这种期望可能会影响个体与术后管理的关系及体验。
该研究强调护士需要评估术前向患者提供的信息，并倾听他们表达的期望。患者对疼痛的期望有时是他们预期会疼痛，而对这种疼痛的管理对他们来说才是重要的。
