评估和排序髋部骨折手术后老年痴呆患者急性疼痛管理的影响因素：二阶验证性因素分析
Evaluating and Ranking the Factors Affecting the Acute Pain Management in Older Adults with Dementia after Hip Fracture Surgery: Second-Order Confirmatory Factor Analysis.
作者信息
Didvar Farzaneh, Ghaffari Fatemeh, Shamsalinia Abbas
机构信息
Nursing and Midwifery, Ramsar Fatemeh Zahra School, Iran.
出版信息
Iran J Nurs Midwifery Res. 2023 Nov 9;28(6):751-757. doi: 10.4103/ijnmr.ijnmr_386_21. eCollection 2023 Nov-Dec.
BACKGROUND
Even though nurses take various measures to decrease acute pain after surgery in older adults with dementia, it is unclear why most of them suffer from severe pain. This study aimed to evaluate the factors affecting acute pain management in older adults with dementia after hip fracture surgery.
MATERIALS AND METHODS
This cross-sectional study used single-stage cluster and convenience sampling to select 330 nurses working in hospitals located in Western Mazandaran, Iran, in 2020. The demographic characteristic questionnaire and the Obstacles to Postoperative Pain Management in Dementia Scale (OPOPMDS) were used to collect data.
RESULTS
The study results confirmed the modified model. The second-order Confirmatory Factor Analysis (CFA) indicated that the Critical Ratio (CR) for all three factors was more than 1.96, and the significance level was considered 0.05. Based on the values of standard coefficients, older people-related (β = 0.86, < 0.001), system-related (β = 0.70, < 0.001), and healthcare provider-related (β = 0.61, < 0.001) factors had the highest impacts on the OPOPMD.
CONCLUSIONS
The study results suggested that older adult-related factors had the most significant impact on the OPOPMD.
背景
尽管护士采取了各种措施来减轻老年痴呆症患者术后的急性疼痛，但尚不清楚为何大多数患者仍遭受严重疼痛。本研究旨在评估影响老年痴呆症患者髋部骨折手术后急性疼痛管理的因素。
材料与方法
本横断面研究采用单阶段整群便利抽样法，于2020年选取了伊朗马赞德兰省西部医院工作的330名护士。使用人口统计学特征问卷和痴呆症术后疼痛管理障碍量表（OPOPMDS）收集数据。
结果
研究结果证实了修正模型。二阶验证性因子分析（CFA）表明，所有三个因子的临界比（CR）均大于1.96，显著性水平设定为0.05。根据标准系数值，与老年人相关的因素（β = 0.86，<0.001）、与系统相关的因素（β = 0.70，<0.001）和与医护人员相关的因素（β = 0.61，<0.001）对OPOPMD的影响最大。
结论
研究结果表明，与老年人相关的因素对OPOPMD的影响最为显著。
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