摘要
目的调查择期手术病人对疼痛治疗和自控镇痛泵（PCA）的认知程度。方法采用问卷方式对232例择期手术的病人进行调查。结果被试者手术预期疼痛强度值为0～10，平均（4．7＋2．1）；希望使用PCA泵后达到的疼痛强度值为0～3，平均（1．6＋0.4）。66.4％的手术病人不知什么时候使用PCA泵最为合理；62．9％的手术病人担心使用止痛药是否会成瘾；22．4％的手术病人不清楚使用PCA泵是否会影响术后恢复；45．5％的手术病人术前不了解PCA泵的使用方法；55％的手术病人希望通过医护人员了解PCA泵的使用方法。结论被试者普遍存在疼痛相关知识不足，护士应充分发挥自己在疼痛控制中的作用，有针对性地在术前对患者进行疼痛的评估，加强疼痛知识的教育，鼓励手术病人积极参与术后镇痛的全过程，完善疼痛相关制度及管理，帮助病人无痛度过围手术期。
Objective：To research the cognitive level of analgesia after operation of selective operation patients and self-control analgesia pump and to improve nursing quality of acute pain. Methods： Apply Questionnaire method to research 232 patients who accepted selective operation. Results：There was a percent of 66.4% in all patients did not know what time should to apply self-control analgesia pump,45.5% of all patients did not know how to use self-control analgesia pump and 55% of them wanted to know how to use self-control analgesia pump through medical care personnel.Conclusions：Testees had little knowledge about analgesia after operation nurses should give full play to publicize the knowledge of analgesia after operation.
关键词
择期手术
病人
术后
疼痛
认知
selective operation
patient
after operation
cognitive
