疼痛管理行为干预在老年骨质疏松患者中的应用

Application of pain management and behavior intervention for elderly patients with osteoporosis

目的探讨疼痛管理行为干预应用于老年骨质疏松患者治疗中对睡眠质量、疼痛程度和疾病认知度的影响。方法选取2015年6月—2016年5月在骨质疏松专病门诊就诊的老年骨质疏松患者85例设为对照组,另选取2016年6月—2017年5月老年骨质疏松患者85例设为观察组。治疗期间,对照组行常规护理,观察组在此基础上行疼痛管理行为干预,对比2组护理前后匹兹堡睡眠质量指数量表(PSQI)、疼痛视觉模拟评分法(VAS)评分及疾病认知度变化。结果 2组护理前睡眠质量评分、VAS评分及疾病认知合格率比较差异均无统计学意义(P>0.05)。护理2周后,观察组睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠紊乱、辅助药物、日间功能障碍评分及总分均低于对照组(P<0.05),观察组VAS评分低于对照组(P<0.05),观察组患者对骨质疏松危险因素、临床症状、日常饮食、骨骼锻炼、补钙知识、治疗方法认知合格率均高于对照组(P<0.05)。结论疼痛管理行为干预应用于老年骨质疏松患者,可有效减轻疼痛程度,提高睡眠质量和疾病认知度。

Objective To investigate the effect of pain management and behavior intervention on the sleeping quality,pain degree and disease awareness of elderly patients with osteoporosis.Methods Totally 85 senile osteoporosis patients with admission date between June,2015 and May2016 were enrolled as the control group. Another 85 senile osteoporosis patients with admission date between June,2016 and May 2017 were enrolled as the observation group. Both two groups receive comprehensive treatment and routine care,and the pain management behavior intervention was carried out in the observation group. The Pittsburgh sleep quality index( PSQI),visual analogue scale( VAS) of pain and disease awareness of patients was evaluated. Results There was no significant difference in PSQI,VAS and disease awareness between two groups before intervention. The PSQI score and VAS of pain was lower in the observation group than that of controls at 2 weeks after intervention( P <0. 05). Patients in the observation group were more knowledge about risk factors,clinical symptom,daily diet,exercise,calcium supplement and disease treatment compared with those of controls( P < 0. 05). Conclusion Pain management and behavior intervention may relieve the pain degree and improve the pain degree and disease awareness of elderly patients with osteoporosis.