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題名：腹部手術後急性疼痛定義性特徵之臨床效度
書刊名：護理研究
作者：吳麗玲／高淑芬／史麗珠
作者(外文)：Wu, Li-ling／Kao, Shu-fen／Shyy, Li-ju
出版日期：1998
卷期：6:5
頁次：頁383-392
主題關鍵詞：手術後急性痛；定義特徵；Postoperative acute pain；Defining characteristics
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(2) 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:2
  • 共同引用共同引用:23
  • 點閱點閱:67
　　　　　本研究目的為建立一套具有信度與效度的評量表，並找出手術後急性疼痛的必要性 特徵。採用研究者所擬定之腹部手術急性痛定義特徵評量表，進行手術後急性痛定義特徵之 直接觀察，共收集個案 78 人。研究結果顯示：在量表信度方面，評估者間有良好的一致性 達 88%,，定義性特徵的內在一致性α值 0.8447，項間相關係數 0.3810； 在量表的效度方 面，建構效度經相關係數矩陣檢視後，刪除第 13 項定義特徵。依 14 項定義性特徵進行最 大變異量分析，並萃取出兩個次概念即身體與生理反應表現和防衛性情緒表徵。兩因素具有 良好的內在一致性，α值分別為 0.7595，0.8386，解釋共變量 47.2%。 並依中數值、矯正 單項與總項關係、固有值與因素係數等四個條件選出喊痛、皺眉、張大眼或閉眼、身體固定 不動、不敢翻身活動、脈搏次數改變、睡眠干擾、身體活動時僵硬和身體活動減少或變慢等 九項必要性之定義性特徵。由上述結果之呈現顯示，臨床疼痛之評估除了病人是否喊痛外， 護理人員在執行各項護理活動時，運用觀察病人身體與生理反應表現和防衛性情緒表徵上的 疼痛表現更是重要。而引流管數量的多少和過去病史是影響疼痛表現有意義的相關因素。
　　　　　The purpose of this study were to establish the construct validity and reliability of assessment tools, and to identify the essential defining characterisitics (DC). A postoperative pain characteristics scale was designed by the researcher. Seventy-eight abdominal surgical patients were assessed to collect the DC of postoperative pain. Results of this study indicated that: in pain scale reliability, there was good consistence (88%) between raters. The Cronbach's alpha coefficient of DC of "postoperative pain" was 0.8447. The correlation between items was 0.3810. In pain scale validity, construct validity which was tested for 14 items of DC accounting for common variance is 2%. According to factor loading, tw sub-concepts of defining characteristics are identified: physiological response and defensive emotional characteristics. The alpha coefficient of the two sub-concepts is 0.76 and 0.84 respectively. Based on the criteria of medium, corrected item/total items correlation, eigenvalue and factor loading, nine items of the essential DC are selected including pain descriptors, frowns, closed or open eyes, fixed body position, slowing or decreasing body movement, fear to change position or cough, rigid muscles during body movement, pulse rate change and sleep interuption. Findings showed that clinical pain assessment involves not only assessing patients' pain descriptors, but also observing their non-verbal behaviors to physiological response and defense emotional characteristics. The number of drainage tubes inserted and past history of patients were significantly related factors affecting postoperative pain characteristics.
期刊論文
1.盧成皆(19960600)。因素分析於護理研究中的一些應用問題探討。長庚護理，7(2)=14，70-75。new window  延伸查詢new window
2.曾清楷(19910300)。疼痛。疼痛醫學雜誌，1(1)，11-20。  延伸查詢new window
3.高紀惠(19860100)。睡眠形態紊亂的定義特徵及其導因。護理雜誌，33(1)，17-29。new window  延伸查詢new window
4.Lasagna, L.(1986)。Pain and it's management。Hospital Practice，21(10)，92。  new window
5.Keefe, F.、Dolan, E.(1986)。Pain behavior and pain coping strategies in low back pain and myofascial pain。Pain，24(1)，49-56。  new window
6.Cohen, F. L.(1980)。Post-surgical pain relief: Patients' status and nurses' medication choices。Pain，9(2)，265-274。  new window
7.Bourbonnais, F.(1981)。Pain assessment: Development of a tool for the nurse and patient。Journal of Advanced Nursing，6(2)，277-282。  new window
8.Melzack, R.、Abbott, F. V.、Zackon, W.(1987)。Pain on a surgical ward: A survey of the duration and intensity of pain and effectiveness of medicaton。Pain，29(1)，67-72。  new window
9.McMahon, M. A.、Miller, S. P.(1978)。Pain response: The influence of psychosocial cultural factors。Nursing Form，17(1)，58-71。  new window
10.Lission, E. L.(1987)。Ethical issues related to pain control。Nursing Clinics of North America，22(3)，649-659。  new window
11.Scott, R. J.、Cecilio, N.、Railes, M.、Zehra, S.(1982)。Assessing pain behavior: The UAB pain behavior scale。Pain，14(3)，393-398。  new window
12.Puntillo, K.、Weiss, S.(1994)。Pain: Its mediators and associated morbidity in critical ill cardiovascular surgical patients。Nursing Research，43(1)，31-35。  new window
13.Paice, J. A.、Mobon, S. M.、Faut-Callahan, M.(1991)。Factors associated with adequate pain control in hospitalized postsurgical patient diagnosed with cancer。Cancer Nursing，14(6)，298-305。  new window
14.Nunnally(1978)。Neurobehavior and clinical response to hemodialysis。Transactions American sodety for Artificial Internal Organs，24(2)，376-380。  new window
15.Wright, S. M.(1993)。The use of therapeutic touch in the management of pain。Nursing Clinical of North America，22(3)，705-713。  new window
16.Walmsley, P. H.、Brockopp, D. Y.、Brockopp, G. W.(1992)。The role of prior pain experience and expectation on postoperative pain。Journal of Pain and Symptom Management，7(1)，34-37。  new window
17.Turk, D. C.、Flor, H.(1987)。Pain>pain behaviors: The utility and limitation of the pain behavior construct。Pain，18(2)，277-295。  new window
18.Schug, S. A.、Torrie, J. J.(1993)。Safety assessment of postoperative pain management by an acute pain service。Pain，55(3)，387-391。  new window
19.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
學位論文
1.翁麗鵲(1995)。開腹手術後病人疼痛程度與相關因素之探討(碩士論文)。長庚。  延伸查詢new window
圖書
1.McCaffery, M.、Beebe, Alexandra(1989)。Pain: Clinical manual for nursing practice。St. Louis：C. V. Mosby。  new window
2.McCaffery, M.(1972)。Nursing management of the patient with pain。Philadelphia：J. B. Lippincott Company。  new window
3.North American Nursing Diagnosis Association(1988)。Classification of nursing diagnosis: Proceeding of the fourth national conference。Philadelphia：Lippincott。  new window
4.Trieger, N.(1994)。Pain control。St. Louis：C. V. Mosby。  new window
圖書論文
1.Dwarakanath, G. K.(1991)。Pathophysiology of pain。Manual of pain management。Philadelphia：Lippincott。  new window
 
 
 
 
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