利用知信行模式对骨科手术患者实施疼痛教育的效果评价

The effect evaluated of KAP mode in pain education of patients in orthopedic with surgery

目的观察知信行疼痛教育模式对骨科手术患者疼痛信念与疼痛控制的影响。方法将238例骨科择期手术患者随机分为观察组和对照组各119例。对照组采用骨科手术患者护理常规进行护理,观察组在常规护理的基础上对患者及家属采用知信行疼痛教育模式。通过问卷及疼痛评估记录比较2组患者疼痛信念、镇痛需求、术后不同时间疼痛程度情况。结果观察组术后疼痛信念优于对照组,观察组镇痛需求高于对照组,观察组术后不同时间疼痛评分低于对照组,差异均有统计学意义(P<0.01)。结论采用知信行模式对骨科手术患者进行疼痛知识教育能优化患者疼痛信念,提高术后疼痛控制质量。

Objective To observe the influence of KAP mode in pain education of patients in orthopedic with surgery. Methods 238 cases orthopedics patients were divided into observation group and control group, each of 119 cases. Control group adopted traditional care, observation group adopted KAP mode. After questionaire and pain assessment, compared the pain beliefs, analgesic needs, pain at different times after Surgery. Results The pain beliefs of obversation group was bet- ter than that of control group, the analgesic needs of obversation group was better than that of control group, the pain at different times after surgery, of obversation group was better than that of control group, the difference was statistically significant （ P 〈 0.01 ）. Conclusion KAP mode in pain education of patients in orthopedic with surgery can improve the pain beliefs and the pain control quality.