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手术干预患者疼痛治疗中书面及口头信息的重要性。

The Importance of Written and Verbal Information on Pain Treatment for Patients Undergoing Surgical Interventions.

作者信息

Andersson Viveka, Otterstrom-Rydberg Eva, Karlsson Ann-Kristin

机构信息

Department of Medicine, Hallands Hospital Varberg, Varberg, Sweden.

Department of Anesthesia and Intensive Care, Hallands Hospital Varberg, Varberg, Sweden.

出版信息

Pain Manag Nurs. 2015 Oct;16(5):634-41. doi: 10.1016/j.pmn.2014.12.003. Epub 2015 May 13.

Abstract

Patients who undergo a surgical intervention require information in the preoperative phase. Few qualitative studies are available that illuminate the importance of preoperative information for patients' experiences of postoperative pain management. The aim of this study was to examine patients' perceptions of preoperative information about pain treatment as well as its importance for the way pain was managed in the postoperative phase. A descriptive, qualitative study using individual interviews was performed. Content analysis was employed to analyze individual interviews with 18 patients who had undergone total hip or knee joint plastic surgery. Every second participant received verbal information on pain treatment in the standard way at the preoperative discussion, whereas the others were also provided with written information. The interviews took place in a public hospital, on the second or third postoperative day, between September and November 2010. The study revealed that a combination of written and verbal information on pain relief was perceived as valuable by the patients. Four main categories were identified: The form of information; the content of the information; the patients' experience of postoperative pain relief, and factors that influenced the patients' experience of pain relief. The theme "Participation" emerged from the latent content. Preoperative information on pain relief facilitated increased patient participation. Health care professionals often aim to ensure that patients participate in the care, but the latter sometimes lack the desire, strength, or ability to become involved.

摘要

接受手术干预的患者在术前阶段需要了解相关信息。目前鲜有定性研究能阐明术前信息对患者术后疼痛管理体验的重要性。本研究的目的是调查患者对术前疼痛治疗信息的认知,以及该信息对术后疼痛管理方式的重要性。采用个人访谈进行了一项描述性定性研究。运用内容分析法对18例接受全髋关节或膝关节整形手术患者的个人访谈进行分析。每隔一名参与者在术前讨论时以标准方式接受关于疼痛治疗的口头信息,而其他参与者还会收到书面信息。访谈于2010年9月至11月在一家公立医院进行,在术后第二天或第三天进行。研究表明,患者认为关于疼痛缓解的书面和口头信息相结合很有价值。确定了四个主要类别:信息形式;信息内容;患者术后疼痛缓解的体验,以及影响患者疼痛缓解体验的因素。“参与”这一主题从潜在内容中浮现出来。术前关于疼痛缓解的信息促进了患者参与度的提高。医护人员通常旨在确保患者参与护理,但患者有时缺乏参与的意愿、力量或能力。

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