骨折患者疼痛现状及影响因素分析

Analysis of the status and influencing factors of pain in fracture patients

目的调查住院骨折患者的疼痛现状,并探讨其影响因素。方法应用自行设计的疼痛评估单对364例患者进行评估。结果 364例患者中,术前出现中度及以上疼痛的患者占46.43%,术后为38.18%;出现中度以上疼痛的时间点主要集中在术后12 h以内,占58.27%;应用杜冷丁、泰勒宁和镇痛泵的比例分别为9.89%、32.97%和34.62%。影响患者术前、术后疼痛程度的影响因素包括住院天数、文化程度、年龄和有无配偶。结论护理工作者应根据患者年龄、文化程度和社会支持的不同采取针对性的干预措施,提高其疼痛控制水平。

Objective To investigate the status of pain in fracture patients and explore its influencing factors. Method A total of 364 patients were assessed by the self - designed pain assessment scale. Results Of the total 346 patients ,46.43 % of the preoperative patients and 38.18 % of the postoperative patients suffered from moderate and severe pain,58.27 % of the patients reported pain within 12 h after surgery. Proportions of patients using telenin, pethidne and patient - controlled anagesia （PCA） were 9.89% ,32.97 % and 34.62%, respectively. Influencing factors of pain were days of hospitalization, education level, age and marital status. Conclusion Nursing interventions should be taken according to the patients＇ age, the level of education and social support so as to improve their self - management of pain.