胃癌根治术后患者镇痛自我管理行为现状与影响因素的调查研究

Investigation on the status quo and influencing factors of self-management behavior for analgesia in patients after radical gastrectomy

目的探讨胃癌根治术后患者镇痛自我管理行为现状及影响因素。方法选取2017年9月至2018年9月我院收治的胃癌根治术患者68例为研究对象,对术后镇痛自我管理行为现状进行调查,采用单因素和多元线性回归分析对其术后镇痛自我管理行为的影响因素进行分析。结果68例胃癌根治术患者中术后镇痛自我管理行为总分为(48.62±10.83)分,总体自我管理行为能力较差。经多元线性回归分析显示,手术病史、疼痛教育史、术后疼痛控制信念及医学应对方式均为影响胃癌根治术患者术后镇痛自我管理行为的独立危险因素(P<0.05)。结论影响胃癌根治术术后镇痛自我管理行为的主要危险因素为手术病史、疼痛教育史、术后疼痛控制信念及医学应对方式。

Objective To investigate the status quo and influencing factors of self-management behavior for analgesia in patients after radical gastrectomy.Methods To select 68 cases of patients with radical gastrectomy of gastric cancer admitted to our hospital from September 2017 to September 2018 as a study object.The status of self-management behavior for postoperative analgesia was investigated.Univariate analysis and multivariate logistic regression analysis were used to analyze influencing factors of self-management behavior for postoperative analgesia.Results The total score of self-management behavior of 68 patients with radical gastrectomy of gastric cancer was(48.62±10.83)points in postoperative analgesia,and the overall self-management behavior ability was poor.Multiple linear regression analysis showed that the history of surgery,history of pain education,control beliefs of postoperative pain and medical coping styles were independent risk factors for self-management behavior of postoperative analgesia in patients undergoing radical gastrectomy of gastric cancer(P<0.05).Conclusion The history of surgery,history of pain education,control beliefs of postoperative pain and medical coping styles were main risk factors for self-management behavior of postoperative analgesia in patients undergoing radical gastrectomy of gastric cancer.