基于恐惧-回避模型的疼痛管理在PCI术后患者运动恐惧中的应用

Effect of pain management based on fear-avoidance model in patients with kinesiophobia after PCI

目的:探究由恐惧-回避模型理论指导的疼痛管理对降低经皮冠状动脉介入(PCI)术后患者运动恐惧和心绞痛疼痛的效果。方法:研究对象为2022年9月至2023年6月心内科初次行PCI术的72例住院患者,通过随机数字表分为对照组(n=36)和干预组(n=36)。对照组给予常规护理,干预组在对照组的基础上增加了疼痛管理的干预内容,比较两组干预后运动恐惧、术后心绞痛疼痛的变化程度。结果:干预12周后,干预组运动恐惧和心绞痛疼痛程度均低于对照组(P<0.05)。结论:基于恐惧-回避模型的疼痛管理对降低PCI术后患者运动恐惧和心绞痛疼痛程度的效果显著。

Objective:Investigating the effectiveness of pain management guided by the fear-avoidance model theory in patients with kinesiophobia in reducing kinesiophobia and angina pain after percutaneous coronary intervention(PCI).Methods:The research object consisted of 72 patients who were hospitalized in cardiology department undergoing initial PCI from September 2022 to June 2023 were selected and divided into the control group with routine nursing(n=36)and the intervention group increasing the content of pain management basing on the control group(n=36)by random number table method.Comparing the degree of changes in kinesiophobia and postoperative angina pain score after the intervention in the two groups.Results:After 12 weeks of intervention,the level dgree of kinesiophobia and angina pain in the intervention group were lower than those in the control group(P<0.05).Conclusion:Pain management based on the fear-avoidance model is effective in reducing the level of kinesiophobia and angina pain in patients after PCI.