胃部手術後病患使用疼痛因應策略及其影響因素探討

李梅琛

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胃部手術後病患使用疼痛因應策略及其影響因素探討

Pain coping and related factors in patients receiving stomach surgery.

李梅琛 , Masters　　Advisor：賴裕和;陳美伶;劉淑娟　　

繁體中文

手術疼痛；疼痛評估；疼痛感覺；疼痛認知；疼痛特質；疼痛強度；疼痛信念；止痛藥使用信念；麻醉性止痛藥；健康控制重心信念；疼痛因應； surgical pain ； pain assessment ； pain sensation ； cognitive characteristics of pain ； pain intensity ； pain beliefs ； pain and narcotic analgesics beliefs ； health locus of control ； pain coping

Abstract │ Reference (77) │ Times Cited (3) │ Altmetrics

Abstract 〈TOP〉

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The purpose of this study was to explore (1) the characteristics of patients’ coping with pain, who have received stomach surgery; and (2) the factors related to predicting a patient’s choice of pharmacological or non-pharmacological pain coping strategies. A cross-sectional descriptive design was used in this study. Eligible subjects were patients who received stomach surgery. Patients were recruited using purposive sampling from the general surgical inpatient wards at four teaching hospitals in Taipei. The following research instruments were used to measure the variables in this study: Background Information Form、Pain Assessment Form (PAF)、Pain and Narcotic Analgesics Belief Scale — Surgical Pain Version (PANABS-SP)、Multidimensional Health Locus of Control Scale — Form C (MHLC- Form C) and Brief Pain Coping Inventory (BPCI). Data were analyzed using descriptive analyses、Cronbach’s alpha analysis、factor analysis and stepwise regression. One hundred and twenty-six subjects were recruited. In general, the psychometric characteristics of each instrument was at an acceptable level. The major results showed that patients used both pharmacological and non-pharmacological coping strategies in dealing with their post-surgery pain. Patients with higher “worst pain intensity”、”higher pain intensity on average”、”diagnosed with cancer” and “lower negative beliefs regarding surgical pain and narcotics analgesics”, tended to use pharmacological pain coping strategies more frequently. Patients with higher “doctoral health control belief ” and lower “negative beliefs regarding surgical pain and narcotics analgesics” tended to use non-pharmacological pain coping strategies more frequently. The results strongly indicate that patient pain coping strategies related to their beliefs regarding pain and narcotics、doctoral control health locus belief、diagnosis with cancer and pain intensity. Health care professionals should assess patients’ pain beliefs and pain characteristics to increase the effectiveness of pain management.

Reference ( 77 ) 〈TOP〉

林春香、劉雪娥、王正儀 (1996). 大腸直腸癌症病患生活品質及其相關因素之探討. 護理研究,4 (1), 13-25.
連結：
林佳靜 (1998). 癌症疼痛因應量表之發展與癌症疼痛因應行為之探討. 護理研究,6 (5), 405-415.
連結：
李茹萍 (1996). 花連地區肺結核病人服藥遵從性及其相關因素之探討. 慈濟醫學院護理學研究所碩士論文. 李惠玲 (1996). 化學治療中乳癌病患訊息需求相關因素之探討.國防醫學院護理學研究所碩士論文. 卓麗鳳 (1999). 家屬對手術後病人使用止痛藥的擔心與病人疼痛控制的相關性. 台北醫學院護理學研究所碩士論文. 許書劍 (1992). 胃癌. 於林天祐主編一般外科學 (上冊) (pp.43-72) 台北:台灣商務.
連結：
陳淑如 (1996). 探討手術後病人對疼痛護理及疼痛控制滿意及其影響因素. 台北醫學院護理學研究所碩士論文.
連結：
陳佩英 (1999). 疼痛對癌症病患焦慮與憂鬱之影響. 長庚大學護理學研究所碩士論文.
連結：

Times Cited (3) 〈TOP〉

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