股骨頭置換術患者術后疼痛狀況及滿意度相關因素分析

許侃娜 武中慶 沈琰 姚婧婧 沈國美 鄭濤

[摘要] 目的 觀察股骨頭置換術患者術后疼痛狀況及疼痛護理滿意度相關因素。 方法 選擇2018年5月至2020年5月，在我院行股骨頭置換術治療的106例患者，評估其術后疼痛狀況，并給予患者疼痛護理干預。評價106例患者護理滿意度，統計患者一般基線資料（性別、年齡、宗教信仰、居住地、經濟能力、文化程度、陪護人員、既往手術史，術后藥物止痛方式等）。經單因素與多因素分析檢驗股骨頭置換術患者術后疼痛護理不滿意的影響因素。 結果 106例患者術后疼痛護理干預后，出現輕度疼痛28例（26.42%），中度疼痛53例（50.00%），重度疼痛25例（23.58%）;經疼痛護理后，不滿意患者例數26例，發生率為24.53%;經單因素與多因素分析結果表明，年齡≥60歲、文化程度為小學及以下、無宗教信仰、陪護人員非配偶是股骨頭置換術患者術后疼痛護理不滿意的影響因素（OR>1，P<0.05）。 結論 股骨頭置換術患者術后以中度疼痛為主，年齡≥60歲、文化程度低、無宗教信仰、陪護人員非配偶可能會導致患者對術后疼痛護理不滿意，臨床可據此采取適宜的干預措施，以提高患者的疼痛護理滿意度。

[關鍵詞] 股骨頭置換術;股骨頭壞死;疼痛;康復

[中圖分類號] R687.3? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 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.