阶段转变模型在慢性疼痛患者护理需求及应对策略中的应用分析-护理学专业论文.docx

华 中 科 技 大 学 硕 士 学 位 论 文 PAGE 4 PAGE 4 结论： 1. 目前慢性疼痛患者的疼痛控制效果不太理想，而且这些患者的疼痛以重度疼 痛为主。医护人员应帮助他们消除自我应对中的不良影响因素，同时积极寻求和 利用社会支持，从而达到有效缓解疼痛的目的。 2. 疼痛阶段变化问卷适合于我国慢性疼痛患者自我管理的过程研究，通过问卷 调查可将慢性疼痛患者划分到不同的自我管理阶段，且我国慢性疼痛患者处于思 考前期及思考期的比例较高、而处于行动期及维持期的比例较低，须采取针对性 的护理干预措施，促进其积极参与疼痛自我管理，从最低级的思考前期向高级的 行动期及维持期转变。 3. 不同阶段的慢性疼痛患者其护理需求、应对策略以及两者之间的相关性存在 差异，因此应针对不同阶段的患者实施不同的护理干预措施，满足其疼痛护理需 求，促使其采取有效的应对策略，提高其自我管理疼痛的能力。 4. 慢性疼痛患者希望解除疼痛、提高舒适度的愿望很强烈，而且患者较少采取 积极有效的应对方式，因此，医护人员及社会相关人员应关注慢性疼痛患者的自 我管理、疼痛护理需求及应对情况，促使患者提高认识，转变行为及态度，积极 主动地实施疼痛自我管理，从而减轻疼痛强度，提高生活质量。 因此，本研究为有针对性地对不同阶段慢性疼痛患者采取不同的护理干预， 构建更完善的疼痛自我管理的护理模式提供依据。 关键词：阶段转变模型；慢性疼痛；护理需求；应对策略；疼痛强度 The Application study of Stages of Change Model on Nursing Needs and Coping Strategies in patients with chronic pain Postgraduate：Zhang Q ing Tutor ：Wang Hui Abstract Objective ： We applied the stages of change model to the processes of pain self- management so as to get some knowledge about distributions of patient’s pain self- management, the intensity, nursing needs and coping strategies of the pain, and the differences between the intensity, nursing needs and coping strategies of the pain at various stages of pain self- management. To explore the relationship between the nursing needs and coping strategies of the pain, and the a ffecting factors of pain intensity in the sample of Chinese patients with chronic pain. Methods：A cross-sectional study was used. By the method of convenient sampling, 271 patients with chronic pain from eleven III-A grade hospitals in Wuhan were recruited into this study. The formal questionnaires included the demographic questionnaire, Chinese version of the Brief Pain Inventory (BPI-C), Pain Stages of Change Q uestionnaire (PSOCQ), Nursing Needs Q uestionnaire of Chronic Pain Patient, and Chronic Pain Coping Q uestionnaire. The database was established by Epidata3.1 and the data were analyzed by SPSS17.0. Descriptive analysis, Spearman Rank Correlation, Nonparametric tests, Canonical Correlation, and