College of Nursing, University of Manitoba, Winnipeg, Canada.
Pan Am Clinic, Winnipeg, Manitoba, Canada.
Clin Nurs Res. 2024 Sep;33(7):538-544. doi: 10.1177/10547738241273232. Epub 2024 Aug 21.
One and a half million cardiac surgeries are completed worldwide each year where undertreated postoperative pain increases the risk of patient morbidity and mortality. Patient-centered pain management is recommended to improve patient outcomes but there is insufficient information regarding how the patient views their role. The objective of this study is to explore cardiac surgery patients' perspectives on their role in postoperative pain management. This study used an interpretive phenomenological design and convenience sampling. Six participants who had undergone cardiac surgery were recruited from a cardiac rehabilitation program in Western Canada. The first author conducted semi-structured digitally recorded interviews. Sociodemographic characteristics and measures of anxiety and depression were also collected. Emergent thematic analysis of the qualitative data generated three themes: , , and . The findings of this study address a gap in the literature with regard to patients' perceived roles in pain management. There is a complex relationship between patient attitude, coping and care, and communication which, in turn, influences how patients view their role within the pain management continuum. These themes contribute to the development of the patient role within the pain management continuum and form an integrated feedback loop. The patient's attitude contributes to their ability to cope with pain and participate in pain assessment and management. Furthermore, their ability to cope and desire to participate influences the development of their attitude. These findings may enhance providers' understanding of the patient's perspective and improve pain management outcomes.
每年在全球范围内完成一百五十万例心脏手术，其中术后疼痛治疗不足会增加患者发病率和死亡率的风险。建议以患者为中心进行疼痛管理，以改善患者的结局，但关于患者如何看待自己的角色，信息还不够充分。本研究旨在探讨心脏手术患者对其在术后疼痛管理中作用的看法。本研究采用解释性现象学设计和便利抽样。从加拿大西部的一个心脏康复计划中招募了 6 名接受过心脏手术的参与者。第一作者进行了半结构化的数字记录访谈。还收集了社会人口统计学特征以及焦虑和抑郁的测量结果。对定性数据进行的涌现主题分析产生了三个主题：对疼痛和疼痛管理的理解、态度、应对和护理、沟通和信息共享。本研究的结果解决了文献中关于患者在疼痛管理中感知角色的差距问题。患者态度、应对和护理以及沟通之间存在着复杂的关系，而这反过来又影响了患者对自己在疼痛管理连续体中角色的看法。这些主题有助于在疼痛管理连续体中形成患者角色，并形成一个集成的反馈循环。患者的态度有助于他们应对疼痛和参与疼痛评估和管理的能力。此外，他们的应对能力和参与意愿会影响他们态度的发展。这些发现可以增强提供者对患者观点的理解，并改善疼痛管理结果。
