家屬對手術後病人使用止痛劑的擔心與病人疼痛控制的相關性

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家屬對手術後病人使用止痛劑的擔心與病人疼痛控制的相關性

The Relationship Between Family Caregivers Concerns about Analgesics and Pain Management of Postoperative Patients

卓麗鳳 , Masters　　Advisor：林佳靜　　

繁體中文

家屬；手術後病人；止痛劑的擔心；疼痛控制； caregivers ； postoperative patients ； concerns about using analgesia ； postoperative pain control

Abstract │ Reference (89) │ Times Cited (2) │ Altmetrics

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The purpose of this study was to explore the possible association between caregivers concerns about using analgesics for postoperative pain and pain management among Taiwanese postoperative patients. This is a descriptive correlational study. The sample consisted of 207 dyads of hospitalized postoperative patients and their caregivers. Three structured questionnaires entitled ''’Barriers Questionnaire-Taiwan Form (BQT)’’, ‘’Brief Pain Inventory Short Form’’, and ‘’Pain Management Index (PMI)’’ were used in this study. Data were analyzed using Student’s t-test, paired t-test, chi-square, Pearson correlation, and logistic regression. This result showed that the pain level assessed by the caregiver within 24 hours postoperative was not different from the pain level reported by the patient. The three highest subscores of caregiver’s concerns were ‘’time interval’’ , ‘’tolerance’’ , and ‘’addiction.’’ Forty-seven caregivers (22.7%) reported that they had hesitated to report pain during first 24 hours postoperatively. These caregivers had significantly higher scores on desire to be a ‘’good patient’’ than those caregivers who had not hesitated to report pain. Seventy-two caregivers (34.8%) reported that they had hesitated to administer medications to their patient during first 24 hours postoperatively. These caregivers reported significantly higher scores on ‘’time interval’’, ‘’fear of tolerance’’, ‘’addiction’’, ‘’side effect’’, ’’wound healing’’, ‘’distracting physician’’, ‘’fatalism’’, desire to be a ‘’good patient’’, and the total BQT score than those caregivers who had not hesitated to administer analgesics. Seventy-nine patients (38.2%) reported that they had hesitated to use medication during first 24 hours postoperatively. Their caregivers had significantly higher scores on desire to be a ‘’good patient’’, ‘’fear of tolerance’’, and the total BQT score than those caregivers whose patient had hesitated to use medication. The result of this study revealed that pain management in these postoperative patients was inadequate. According to the levels of pain patient reported, misconceptions about using analgesics among family caregivers still exist. We suggested that in order to improve postoperative pain control for postoperative patients, education for patients and their caregivers could be an effective intervention.

Reference ( 89 ) 〈TOP〉

毛新春、蔣立琦(民85)?手術後兒童對疼痛的因應策略?護理研究，4(3)，208-218。
連結：
林佳靜、陳淑如、謝麗鳳(民86)? 疼痛護理?護理雜誌，44(1)，37-47。
連結：
翁麗雀、鄭綺(民85)?開腹手術病人止痛劑要求時疼痛程度及相關因素之探討?長庚護理，7(1)，45-55。
連結：
陳淑如、林佳靜、鄭綺、何善台(民87)?探討手術後病人對疼痛護理及疼痛控制的滿意度及其影響因素?護理研究，6(6)，475-487。
連結：
謝麗鳳、林佳靜、賴裕和、鄒宗山(民87)?癌症家屬對止痛劑的擔心與病人疼痛控制的相關性?護理研究，6 (4)，327-337。
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Times Cited (2) 〈TOP〉

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