基于阶段转变模型腰椎间盘突出症患者疼痛自我管理的质性研究

Qualitative Study on Stages of Change Model-based Pain Self-management in Patients with Lumbar Disc Herniation

目的以阶段转变模型为理论框架,深入了解腰椎间盘突出症患者疼痛自我管理体验。方法采用质性研究中的现象学研究方法,分析26例腰椎间盘突出症患者疼痛自我管理的真实感受与体验。结果腰椎间盘突出症患者经历严重的腰腿痛,不同行为转变阶段的患者疼痛体验及其自我管理存在差异,患者不同程度的存在疼痛自我管理缺陷。结论医务工作者应建立完善的疼痛管理体系,并以阶段转变模型为理论框架,制定个体化的疼痛管理方法,针对患者疼痛自我管理缺陷,纠正并强化患者对疼痛自我管理的认知水平,提高其疼痛自我效能和自我管理能力,降低疼痛。

Objective To investigate the experience of pain self-management in patients with lumbar disc herniation（LDH） on the framework of stages of change model. Methods The phenomenological methodology was used in the study. A total of 26 LDH patients were interviewed about their real experience of pain self-management based on stages of change model. Results The LDH patients experienced severe lumbago-leg pain and patients ＇ pain experience and pain self-management varied in different behavioral stages. There were defects of pain self-management in LDH patients. Conclusion Perfect pain management system and targeted individualized health guidance should be developed to improve patients ＇ pain self-management ability and pain self-efficacy and reduce their pain.