摘要
目的了解慢性疼痛患者的自我管理行为,为分阶段对慢性疼痛患者实施针对性护理干预提供参考。方法采取便利抽样方法抽取武汉市11所三甲医院慢性疼痛患者268例,采用疼痛阶段变化问卷(PSOCQ)进行调查。结果患者对疼痛的自我管理行为呈现不同的阶段和型态,依次为思考前期(39.92%)、思考期(45.52%)、行动期(7.84%)和维持期(6.72%)。结论患者慢性疼痛自我管理的行为分阶段逐渐转变,需针对其各阶段不同的疼痛自我管理倾向采取不同的护理干预措施。
Objective To comprehend self-management behavior of patients with chronic pain,and to provide information for medical staff to take interventions stage by stage.Methods Two hundred and sixty-eight patients with chronic pain admitted to 11 top hospitals of Wuhan completed the Pain Stages of Change Questionnaire（PSOCQ）.Results Patients′ self-management behavior were in different stages and exhibited varied forms.In this study,39.92% of the patients were in the precontemplation stage,45.52% in the contemplation stage,7.84% in the action stage and 6.72% in the maintenance stage.Conclusion Patients with chronic pain go through specific stages of change when attempting to self-manage their pain.Different nursing intervention measures should be applied to patients in different stages.
基金
湖北省自然科学基金项目(2008CDB227)
关键词
慢性疼痛
疼痛阶段变化问卷
自我管理行为
思考前期
思考期
行动期
维持期
chronic pain
Pain Stages of Change Questionnaire
self-management behavior
precontemplation stage
contemplation stage
action stage
maintenance stage
