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患者教育对骨科手术疼痛程度及疼痛恐惧的影响:一项随机对照试验

The Effect of Patient Education on Pain Level and Fear of Pain in Orthopedic Surgery: A Randomized Controlled Trial.

作者信息

Çalışkan Figen, Seller Ayten, Gerçek Muhterem

机构信息

Health Sciences Faculty, Nursing Department, Nursing Education, Trakya University, Edirne, Turkey.

Department of Orthopedics and Traumatology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Bakırköy, Istanbul, Turkey.

出版信息

J Perianesth Nurs. 2025 Jun;40(3):612-618. doi: 10.1016/j.jopan.2024.07.015. Epub 2024 Oct 24.

DOI:10.1016/j.jopan.2024.07.015
PMID:39453348
Abstract

PURPOSE

Patients experience pain after surgery, an expected symptom, and a common and important care problem. The purpose of the study was to determine the effect of patient education on pain level and fear of pain in orthopedic trauma patients.

DESIGN

The study is a randomized controlled trial research design.

METHODS

A total of 52 patients, 26 in the experimental group and 26 in the control group, were included in the study. The experimental group received patient education about the operative process and pain management the day before the operation and the morning of the surgery. The Information Form, Fear of Pain Scale-III, and Visual Analog Scale were used to gather data.

FINDINGS

We found that the patients' pain levels were low. Patients had a fear of severe pain above the average level, fear of mild pain below the average level, and fear of medical pain at the time of hospitalization and discharge. The medical pain level of the patients in the experimental group at the time of discharge was lower than the fear of medical pain at the time of hospitalization.

CONCLUSIONS

Preoperative pain management education for orthopedic trauma patients is effective in reducing the fear of medical pain. We identified that pain management patient education to orthopedic trauma patients before surgery was effective in decreasing the fear of medical pain.

TRIAL REGISTRATION

The study was registered with ClinicalTrials.gov. Identifier: NCT05887596.

摘要

目的

患者术后会经历疼痛,这是一种预期症状,也是一个常见且重要的护理问题。本研究的目的是确定患者教育对骨科创伤患者疼痛程度和疼痛恐惧的影响。

设计

本研究为随机对照试验研究设计。

方法

共有52例患者纳入研究,其中实验组26例,对照组26例。实验组在手术前一天和手术当天上午接受了关于手术过程和疼痛管理的患者教育。使用信息表、疼痛恐惧量表-III和视觉模拟量表收集数据。

结果

我们发现患者的疼痛程度较低。患者对重度疼痛的恐惧高于平均水平,对轻度疼痛的恐惧低于平均水平,在住院时和出院时对医疗疼痛存在恐惧。实验组患者出院时的医疗疼痛程度低于住院时对医疗疼痛的恐惧程度。

结论

对骨科创伤患者进行术前疼痛管理教育可有效减轻对医疗疼痛的恐惧。我们发现,术前对骨科创伤患者进行疼痛管理患者教育可有效降低对医疗疼痛的恐惧。

试验注册

本研究已在ClinicalTrials.gov注册。标识符:NCT05887596。

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