Parlar Serap, Fadiloglu Cicek, Argon Gulumser, Tokem Yasemin, Keser Gokhan
Department of Internal Medicine Nursing, Gaziantep School of Health, Gaziantep University, Sahinbey, Gaziantep.
Pain Manag Nurs. 2013 Sep;14(3):133-42. doi: 10.1016/j.pmn.2010.08.002. Epub 2011 Feb 8.
The aims of this study were to investigate the effects of pain management education on the intensity of pain and frequency of utilization of pain management methods in two groups of patients with arthritis of different pathogenesis and clinical features, and to compare whether a significant difference existed between the two groups. The study was carried out between September 2007 and June 2008 on 30 female patients with gonarthrosis and 30 female patients with rheumatoid arthritis (RA) followed at the rheumatology outpatient clinic of a university hospital. Data on sociodemographic characteristics and those related with the illness were collected using a special survey. Each patient was given information about the features, causes, and treatment of the arthritis and how to cope with pain, emphasizing the importance of pain management methods. The intensity of pain and efficacy of pain management methods were assessed using the McGill Pain Questionnaire and the Pain Management Inventory at baseline and the second and sixth weeks after the education. The SPSS (v15.0) statistical package was used for statistical analysis. After education, significant improvements in pain intensity scores compared with baseline scores were observed in both groups (p < .05), and there was no significant difference between the RA and gonarthrosis groups. Among the various pain management methods, the education program led to significantly more utilization of massaging the painful area, exercising, and using complementary methods to control stress in both groups of patients, and there was no significant difference between the groups. In conclusion, the pain management education given in this study alleviated the intensity of pain and significantly increased the use of some pain management methods in both gonarthrosis and RA cases.
本研究的目的是调查疼痛管理教育对两组不同发病机制和临床特征的关节炎患者疼痛强度及疼痛管理方法使用频率的影响，并比较两组之间是否存在显著差异。该研究于2007年9月至2008年6月在一所大学医院的风湿病门诊对30名膝骨关节炎女性患者和30名类风湿关节炎（RA）女性患者进行。通过一项特殊调查收集社会人口学特征及与疾病相关的数据。向每位患者介绍关节炎的特点、病因、治疗方法以及如何应对疼痛，强调疼痛管理方法的重要性。在教育前、教育后第二周和第六周，使用麦吉尔疼痛问卷和疼痛管理量表评估疼痛强度及疼痛管理方法的效果。采用SPSS（v15.0）统计软件包进行统计分析。教育后，两组患者的疼痛强度评分与基线评分相比均有显著改善（p < .05），RA组和膝骨关节炎组之间无显著差异。在各种疼痛管理方法中，教育项目使两组患者对疼痛部位进行按摩、锻炼以及使用辅助方法控制压力的使用频率显著增加，两组之间无显著差异。总之，本研究中的疼痛管理教育减轻了膝骨关节炎和RA患者的疼痛强度，并显著增加了一些疼痛管理方法的使用。
