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題名:病人疼痛特質與疼痛信念對手術後使用止痛藥物之影響
書刊名:護理雜誌
作者:李梅琛 引用關係賴裕和陳美伶劉淑娟
作者(外文):Lee, Mei-chenLai, Yeur-hurChen, Mei-lingLiu, Shwu-jiuan
出版日期:2001
卷期:48:1
頁次:頁49-58
主題關鍵詞:術後疼痛疼痛特質疼痛信念疼痛因應疼痛及麻醉性止痛藥信念量表Postoperative painPain characteristicsPain beliefsPain copingPain and opioid analgesics beliefs scale-surgical painPOABS-SP
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(8) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:8
  • 共同引用共同引用:18
  • 點閱點閱:48
     本研究目的為探討胃部術後病患:坽使用藥物因應其疼痛問題的現況, 夌對疼痛及麻醉性止痛藥的信念,及奅診斷特質與對麻醉性止痛藥及術後疼痛之 信念對其使用止痛藥因應術後疼痛間之相關性。本研究採橫斷式相關性研究設 計,以北部四所教學醫院中126名曾接受胃部術後病患為對象,以疼痛評估表、 疼痛及麻醉性止痛藥信念量表—手術疼痛版、簡易疼痛因應策略量表之藥物因應 子量表進行結構性問卷訪談,資料以描述性統計、Spearman相關及逐步迴歸分 析。結果顯示坽本研究個案之平均疼痛強度為輕度,而最痛疼痛強度則介於中等 至嚴重之間;夌個案普遍有負向的疼痛及麻醉性止痛藥疼痛信念,尤其有偏高的 忍耐疼痛信念;奅有愈高的最痛疼痛強度及平均疼痛強度、診斷為癌症者、愈正 向的疼痛及麻醉性止痛藥信念,則較會使用止痛藥因應其術後疼痛。本研究結果 支持疼痛信念、疼痛強度及診斷別均是影響其術後使用止痛藥的因素,因此臨床 照護中應同時評估及處理該相關因素,以促進病人更有效地使用止痛藥。
     This research aims to study, in postoperative gastric patients: 藺 Their actual use of drugs in response to pain, ? Beliefs about pain and opioid analgesics, and 藽 Correlation between their individual diagnosis and beliefs about opioid analgesics and postoperative pain, and their application of analgesics for postoperative pain. A cross-sectional descriptive design and purposive sampling were applied in this research to conduct structured questionnaire interviews using the Pain Assessment Form (PAF), Pain and Opioid Analgesics Beliefs Scale-Surgical Pain Version (POABS-SP) and Brief Pain Coping Inventory-Pharmacological Pain Coping (BPCI-PPC) with postoperative gastric patients at four teaching hospitals in northern Taiwan. Descriptive statistics and Spearman correlative and stepwise regression were used for data analysis and a total of 126 patients were interviewed. The results of some individual cases in this research show that: 藺 patients sensed small "pain intensity on average" and moderate to severe "worst pain intensity", ? patients generally had negative pain beliefs, especially beliefs about higher tolerance to pain, about pain and opioid analgesics, and 藽 patients with high worst pain intensity and pain intensity on average, who had been diagnosed with cancer or who had positive beliefs about pain and opioid analgesics would be more likely to use analgesics for postoperative pain relief. The research results also support the view that pain beliefs, pain intensity and diagnosis type are influential factors for the application of analgesics after surgery. Therefore, it is necessary to evaluate and also to deal with these related factors during clinical care so as to allow patients to use analgesics more effectively.
期刊論文
1.Puntillo, K.、Weiss, S. J.(1994)。Pain: Its mediators and associated morbidity in critically ill cardiovascular surgical patients。Nursing Research,43(1),31-35。  new window
2.謝麗鳳、林佳靜、賴裕和、鄒宗山(19980800)。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。new window  延伸查詢new window
3.王豐裕(1994)。胃癌。醫學繼續教育,4(5),566-576。  延伸查詢new window
4.Heffline, M. S.(1990)。Exploring nursing interventions for acute pain in the post anesthesia care unit。Journal of Anesthesia Nursing,5(5),321-328。  new window
5.Carr, E.(1997)。Factors influencing the experience of pain。Nursing,93(39),53-54。  new window
6.Jensen, M. P.、Karoly, P.、O'Riordan, E. F.、Bland, F. Jr.、Burns, R. S.(1989)。The subjective experience of acute pain. An assessment of the utility of 10 indices。Clinical Journal of Pain,5(2),153-159。  new window
7.Jensen, M. P.、Karoly, P.、Huger, R.(1987)。The development and preliminary validation of an instrument to assess patients' attitudes toward pain。Journal of Psychosomatic Research,31(3),393-400。  new window
8.Hollinworth, H.(1994)。No gain?。Nursing Time,90(1),24-27。  new window
9.Kuhn, S.、Cooke, K.、Collins, M.、Jones, J. M.、Mucklow, J. C.(1990)。Perceptions of pain relief after surgery。British Medical Journal,300(6741),1690。  new window
10.Wilder-Smith, C. H.、Schuler, L.(1992)。Postoperative analgesia: Pain by choice? the influence of patient attitudes and patient education。Pain,50(3),257-262。  new window
11.Seers, K.(1987)。Perceptions of pain。Nursing Times,33(48),37-39。  new window
12.Winefield, H. R.、Katsikitis, M.、Hart, L. M.、Rounsefell, B. F.(1990)。Postoperative pain experiences: Relevant patient and staff attitudes。Journal of Psychosomatic Research,34(5),543-552。  new window
13.Williams, D. A.、Thorn, B. E.(1989)。An empirical assessment of pain beliefs。Pain,36(3),351-358。  new window
14.賴裕和(20001000)。病人對癌痛及麻醉性止痛藥之信念探討--量表發展與現況。護理研究,8(5),557-567。new window  延伸查詢new window
15.林佳靜(19981000)。癌症疼痛因應量表之發展與癌症疼痛因應行為之探討。護理研究,6(5),405-416。new window  延伸查詢new window
16.蔡麗雲、顧乃平(19970400)。癌痛病患的疼痛因應策略及其相關因素之探討。護理研究,5(2),137-148。new window  延伸查詢new window
17.Donovan, M.、Dillon, P.、McGuire, L.(1987)。Incidence and characteristics of pain in a sample of medical-surgical inpatients。Pain,30(1),69-78。  new window
18.Musgrave, C. F.(1990)。Acute postoperative pain: the cause and the care。Journal of Post Anesthesia Nursing,5(5),329-337。  new window
19.Werner, P.、Cohen-Mansfield, J.、Watson, V.、Pasis, S.(1998)。Pain in participants of adult day care centers: Assessment by different raters。Journal of Pain and Symptom Management,15(1),8-17。  new window
20.曹麗英(19830700)。手術後24小時內病人接受護士給予酌情需要(p. r. n.)注射止痛劑Demerol 情況之探討。護理雜誌,30(3),81-92。new window  延伸查詢new window
21.Lin, C. C.、Ward, S. E.(1995)。Patient-related barriers to cancer pain management in Taiwan。Cancer Nursing,18(1),16-22。  new window
學位論文
1.卓麗鳳(1999)。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(碩士論文)。台北醫學院,臺北。  延伸查詢new window
2.Lai, Y. H.(1996)。The use of cognitive-behavioral pain coping in Taiwanese cancer patients(博士論文)。University of North Carolina at Chapel Hill,North Carolina。  new window
圖書
1.U. S. Department of Health and Human Services(1994)。Quick reference guide for clinicians, No. 9. Management of cancer pain: Adults。Washington, DC:U. S. Department of Health and Human Services。  new window
圖書論文
1.Karnofsky, D.、Burchenal, J.(1948)。The clinical evaluation of chemotherapeutic agents in cancer。Evaluation of chemotherapeutic agents。New York:Columbia University Press。  new window
2.Hercules, P. R.、Powell, M. K.(1992)。Nursing role in management: Client during surgery。Medical-surgical nursing: Assessment and management of clinical problems。St. Louis, MO:Mosby。  new window
3.Pellegrini, C. A.(1986)。Postoperative care。Current medical diagnosis and treatment 1986。California:Lange Medical。  new window
 
 
 
 
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