腹部手术患者应对方式与术后疼痛的相关性研究

Study on Relationship between Coping Style and Pain Degree after Surgery in Patients with Abdominal Operation

目的探讨腹部手术患者应对方式与术后患者疼痛程度的相关性。方法随机选择50例腹部手术患者,于术前1 d采用医学应对方式问卷(MCMQ)调查,术后24 h、48 h采用视觉模拟评分(VAS)法评定患者的疼痛程度。结果(1)患者的"面对"应对方式分值为16.56±3.61,"回避"应对方式分值为16.82±2.85,"屈服"应对方式分值为8.56±2.52。(2)与常模比较,"面对"和"回避"应对方式有显著性差异(P<0.05),而"屈服"应对方式无显著性差异(P>0.05)。(3)术后24 h、48 h患者疼痛评分分别为(3.48±1.09)分、(2.98±0.89)分。(4)"面对"应对方式与患者术后24 h、48 h疼痛评分均呈负相关(P<0.01);"回避"和"屈服"应对方式与术后24 h疼痛评分呈正相关(P<0.05)。结论腹部手术患者较常模多采取"回避"应对方式,较少采取"面对"应对方式;术后24 h、48 h患者疼痛程度与应对方式存在相关关系。

Objective To approach the relationship between coping style and pain degree after surgery in patients with abdominal operation. Methods Fifty patients with operation on abdominal region were randomly selected. One day before operation, the patients were investigated by MCMQ （Medical Coping Modes Questionnaire）, and VAS pain scores at 24, 48hours after surgery were evaluated. Results （ 1 ） The score of ＂confrontation＂ coping style was 16.56 ± 3.61, ＂avoidance＂ was 16.82±2.85, and ＂resignation＂ was 8.56±2.52. （2） Comparing with norm, there were significant difference in the score of ＂confrontation＂ and ＂avoidance＂ coping styles （P 〈0.05）, but not in ＂resignation＂ coping style （P 〉0.05）. （3） VAS pain scores at 24, 48hours after surgery were 3.48± 1.09,2.98±0.89. （4） VAS pain scores at 24, 48hours after surgery were significantly positive correlation to ＂confrontation＂ coping style （ P 〈 0.01 ） and that of at 24hours was significantly negative correlation to ＂avoidance＂ and ＂resignation＂ coping styles （P 〈0.05）. Conclusions Comparing with norm, the patients of operation on abdominal region took more ＂avoidance＂ coping style and less＂confrontation＂ coping style; The close relationship between VAS pain scores at 24, 48hours after surgery and coping style existed.