股骨頭置換術(shù)患者術(shù)后疼痛狀況及滿意度相關(guān)因素分析

許侃娜 武中慶 沈琰 姚婧婧 沈國(guó)美 鄭濤

[摘要] 目的 觀察股骨頭置換術(shù)患者術(shù)后疼痛狀況及疼痛護(hù)理滿意度相關(guān)因素。 方法 選擇2018年5月至2020年5月，在我院行股骨頭置換術(shù)治療的106例患者，評(píng)估其術(shù)后疼痛狀況，并給予患者疼痛護(hù)理干預(yù)。評(píng)價(jià)106例患者護(hù)理滿意度，統(tǒng)計(jì)患者一般基線資料（性別、年齡、宗教信仰、居住地、經(jīng)濟(jì)能力、文化程度、陪護(hù)人員、既往手術(shù)史，術(shù)后藥物止痛方式等）。經(jīng)單因素與多因素分析檢驗(yàn)股骨頭置換術(shù)患者術(shù)后疼痛護(hù)理不滿意的影響因素。 結(jié)果 106例患者術(shù)后疼痛護(hù)理干預(yù)后，出現(xiàn)輕度疼痛28例（26.42%），中度疼痛53例（50.00%），重度疼痛25例（23.58%）;經(jīng)疼痛護(hù)理后，不滿意患者例數(shù)26例，發(fā)生率為24.53%;經(jīng)單因素與多因素分析結(jié)果表明，年齡≥60歲、文化程度為小學(xué)及以下、無(wú)宗教信仰、陪護(hù)人員非配偶是股骨頭置換術(shù)患者術(shù)后疼痛護(hù)理不滿意的影響因素（OR>1，P<0.05）。 結(jié)論 股骨頭置換術(shù)患者術(shù)后以中度疼痛為主，年齡≥60歲、文化程度低、無(wú)宗教信仰、陪護(hù)人員非配偶可能會(huì)導(dǎo)致患者對(duì)術(shù)后疼痛護(hù)理不滿意，臨床可據(jù)此采取適宜的干預(yù)措施，以提高患者的疼痛護(hù)理滿意度。

[關(guān)鍵詞] 股骨頭置換術(shù);股骨頭壞死;疼痛;康復(fù)

[中圖分類號(hào)] R687.3? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] B? ? ? ? ? [文章編號(hào)] 1673-9701（2021）24-0172-04

Analysis of related factors of postoperative pain and satisfaction in patients undergoing femoral head replacement

XU Kanna? ?WU Zhongqing? ?SHEN Yan? ?YAO Jingjing? ?SHEN Guomei? ?ZHENG Tao

The First People's Hospital of Huzhou， Huzhou? ?313000，? China

[Abstract] Objective To observe the postoperative pain status of patients with femoral head replacement and related factors of pain nursing satisfaction. Methods From May 2018 to May 2020， 106 patients who underwent femoral head replacement surgery in our hospital were selected. Their postoperative pain was evaluated. And the pain nursing intervention was given. The 106 patients′ nursing satisfaction was evaluated. The patients′ general baseline data （gender， age， religious belief， place of residence， economic ability， education level， accompanying staff， previous surgery history， postoperative medication pain relief methods） were calculated. Single-factor and multi-factor analysis were used to examine the influencing factors of dissatisfaction with postoperative pain care for patients undergoing femoral head replacement. Results Among 106 patients with postoperative pain nursing intervention， 28 cases （26.42%） had mild pain， 53 cases （50.00%） with moderate pain， and 25 cases （23.58%） with severe pain. After 106 patients with postoperative pain nursing intervention， 28 cases （26.42%） had mild pain， 53 cases （50.00%） with moderate pain， and 25 cases （23.58%） with severe pain. After pain care， there were 26 dissatisfied patients， with an incidence rate of 24.53%. The results of single factor and multivariate analysis showed that patients aged ≥60 years old， education level of elementary school and below， no religious beliefs， and non-spouses of the accompanying staff were influencing factors of unsatisfactory postoperative pain nursing of patients undergoing femoral head replacement （OR>1， P<0.05）. Conclusion Postoperative femoral head replacement patients mainly have moderate pain. Age≥60 years old， low education level， no religious beliefs， and non-spouse of accompanying staff may cause patients to be dissatisfied with postoperative pain care. Clinically， appropriate intervention measures can be taken accordingly to improve patients′ satisfaction with pain care.