手术病人对自控镇痛认知与需求及相关因素的调查分析

The Recognition of and Demands for Patients-controlled Analgesia in Surgical Patients and the Related Factors

目的了解手术病人对术后疼痛与自控镇痛的认知状况和影响因素。方法自行设计调查问卷 ,对 2 6 8例手术病人进行问卷调查。结果仅有 16 .0 %病人知道术后疼痛可致并发症 ,38.1%病人认为术后疼痛没必要治疗 ,仅 38.1%病人选择自控镇痛 ,不同学历、职业、月收入及住院费用支付形式的病人对自控镇痛的需求率比较 ,差异均有显著性意义 (均P <0 .0 1)。结论手术病人对术后疼痛的危害性及镇痛的重要性认识不足 ,对自控镇痛的需求偏低 ,对手术病人应加强术后镇痛的宣教工作 ,尤其是低学历、非医务人员的病人。

Objective To study the recognition in and demands for postoperative patient-controlled analgesia and related factors. Methods Two hundred and sixty-eight operated patients were investigated by using a self-designed questionnaire.Results Only 16.0% of the patients knew that postoperative pain might cause complications and 38.1% of the patients believed that postoperative pain needs no treatment. Only 38.1% of the patients chose the patient-controlled analgesia. There were significant differences in the demand of the patient-controlled analgesia among patients of different educational background, occupation, salary and forms of payment ( P <0.01 for all).Conclusion The surgical patients fail to recognize the risk of postoperative pain and importance of analgesia. Health education should be strengthened in surgical patients, especially those with poor educational background and those of non-medical occupation.