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題名：探討手術後病人對疼痛護理及疼痛控制的滿意度及其影響因素
書刊名：護理研究
作者：陳淑如 引用關係／林佳靜 引用關係／鄭綺 引用關係／何善臺
作者(外文)：Chen, Su-ru／Lin, Chia-chin／Jeng, Chii／Ho, Shung-tai
出版日期：1998
卷期：6:6
頁次：頁475-488
主題關鍵詞：手術後疼痛；疼痛護理；疼痛控制；Post-operative pain；Nursing of patients in pain；Pain control
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(12) 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:12
  • 共同引用共同引用:28
  • 點閱點閱:96
　　　　　本研究主要探討術後病人對疼痛護理及疼痛控制的滿意度，採描述相關性問卷調 查， 對象取自北部四家醫院骨科病房行下肢手術後之病人，採立意取樣，共 100 位參與研 究。 結果顯示，以 0-10 分量表測量，骨科病患術後最痛程度平均值為 6.69 ± 1.97，最 輕程度為 1.51 ± 1.62，平均疼痛分數為 4.26 ± 1.73 約中度疼痛， 期望術後疼痛被緩 解的程度平均為 2.50 ± 1.59， 病患對疼痛護理的滿意度為 4.18 ± 0.58(1-5 分量表 ) 屬非常滿意， 對疼痛控制的滿意度為 5.22 ± 0.68(1-6 分量表 ) 亦屬於非常滿意，顯示 術後病患雖大部分經歷中度以上的疼痛仍很滿意術後的疼痛護理及疼痛控制，而疼痛護理及 疼痛控制的滿意度因病患的年齡、教育程度、婚姻狀況及藥物處理方式之不同而有顯著性的 差異。由研究結果建議護理人員應加強病患對術後疼痛控制的認知，使其了解疼痛是可以被 控制的及免於疼痛是病人的權利。亦應定時評估病患的疼痛程度尤其針對年齡大、教育程度 低、喪偶或已婚者。再者以滿意度作為監測指標時，應佐以其它方法為輔，以防誤導結果。
　　　　　The study was conducted to explore patient satisfaction with post- operative pain control and nursing care. This study is a descriptive correlational design. A convenience sample consisted of 100 patients from 4 hospitals in northern Taiwan. Pain severity scores ranged from 1 to 10. The mean (S.D) score of pain severity was 6.69 (1.97) for worst pain, and 4.26 (1.73) for average pain. The extent to which pain relief was expected by patients was 4.18 (0.58). Satisfaction scores ranged from 1 to 5 for nursing care and 1 to 6 for pain control; the mean (S.D.) satisfaction was 4.18 (0.58) and 5.22 (0.68), respectively. Great satisfaction was reported by patients even when moderate pain was reported. This study has provided several implications for nursing practice, education, and further research. Patients should be taught that pain can be managed and the goal for pain relief will be set and attained. By paying attention to the presence of pain and regularly assessing pain, nurses can improve patients' satisfaction with nursing care and pain management. When satisfaction is used as an indicator for pain control, interpretation should be made with caution.
期刊論文
1.Closs, S. L.(1992)。Patients' night-time pain, analgesic provision and sleep after surgery。International Journal Nursing Studies，29(4)，381-392。  new window
2.Ward, S. E.、Gordon, D.(1994)。Application of American pain society quality assurance standards。Pain，56(3)，299-306。  new window
3.戴元基(19940300)。手術後的疼痛控制。國防醫學，18(3)，183-186。  延伸查詢new window
4.Bond, S.、Thomas, L. H.(1992)。Measuring patients' satisfaction with nursing care。Journal of Advanced Nursing，17(8)，52-63。  new window
5.Bader, M. M.(1988)。Nursing Care Behaviors That Predict Patient Satisfaction。Journal of Nursing Quality Assurance，2(3)，11-17。  new window
6.Lin, C. C.(1996)。Patient satisfaction with nursing care as an outcome variable: Dilemmas for nursing evaluation researchers。Journal of Professional Nursing，12(4)，207-216。  new window
7.McDaniel, C.、Nash, J. G.(1990)。Compendium of instruments measuring patient satisfaction with nursing care。Quality Research Bulletin，22(3)，182-188。  new window
8.黃愛娟、曾昭琳(19820700)。病人疼痛的處理。護理雜誌，29(3)，53-64。new window  延伸查詢new window
9.Moddeman, G. R.(1995)。Barriers to pain management in elderly surgical patients。AORN Journal，61(6)，1073-1075。  new window
10.Dietrick-Gallagher, M.、Polomano, R.、Carrick, L.(1994)。Pain as a quality management initiative。Journal of Nursing Care Quality，9(1)，30-42。  new window
11.Ware, J. E.、Wright, M. K.、Synder, J. C.(1975)。Consumer perception of health care services: Implications for academic medicine。Journal of medical Education，50(9)，839-848。  new window
12.Brody, D.、Miller, S.、Lermam, C.、Smith, D.(1989)。The relationship between patients' satisfaction with their physicians and perceptions about interventions they desired and received。Medical Care，27(11)，1027-1035。  new window
13.Gujol, M. C.(1994)。A survey of pain assessment and management practices among critical care nurses。American Journal of Critical Care，3(2)，123-129。  new window
14.Dalrymple, D. G.、Parbrook, G. D.、Steel, D. F.(1973)。Factor predispering postoperative pain and pulmonary complication。British Journal of Anaesthesia，45(6)，589-598。  new window
15.Cohen, F. G.(1980)。Post-surgical pain relief: Patients status and nurses' medication choice。Pain，9(4)，265-274。  new window
16.Lavies, N.、Hart, L.、Rounsefell, B.、Runciman, W.(1992)。Identification of patient, medical, and nursing staff attitudes to postoperative opioid analgesia。Pain，48(3)，313-319。  new window
17.Kuhn, S.、Cooke, K.、Collins, M.、Jones, J. M.、Mucklow, J. C.(1990)。Perception of pain relief after surgery。British Medical Journal，300(30)，1687-1690。  new window
18.Kon, P.、Thomas, V.(1994)。Patient-cotrolled analgesia (PCA): Does time saved by PCA improve patient satisfaction with nursing care。Journal of Advanced Nursing，20(1)，61-70。  new window
19.Ketovuori, H.(1987)。Nurses' and patients' conceptions of wound pain and the administration of analgesics。Journal of Pain and Symptom Management，2(4)，213-218。  new window
20.Meehan, D. A.、McRae, M. Z.(1995)。Analgesic administration, pain intensity, and patient satisfaction in cardiac surgical patient。American Journal of Critical Care，4(6)，435-442。  new window
21.Mark, R. M.、Sachar, E. J.(1973)。Undertreatment of medical inpatients with narcotic analgesics。Annals of Internal Medicine，78(2)，173-181。  new window
22.Stretzer, J.、Wade, T. C.(1981)。The influence of culture on the undertreatment of postoperative pain。Psychosomatic Medicine，43(5)，397-403。  new window
23.Pascoe, G. C.(1983)。Patient satisfaction in primary health care。Evaluation and Program Planning，6(2)，185-210。  new window
24.Wartman, S. A.(1983)。Patient understanding and satisfaction as predictors of compliance。Medical Care，21(1)，886-891。  new window
25.繆珣(19941200)。影響急診病患對急診服務滿意度因素之探討。榮總護理，11(4)，348-360。new window  延伸查詢new window
26.陳綱華、顧乃平(19970200)。心臟移植後患者的壓力源、因應行為及生活滿意度之關係。護理研究，5(1)，41-51。new window  延伸查詢new window
27.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
28.Lin, C. C.、Ward, S. E.(1995)。Patient-related barriers to cancer pain management in Taiwan。Cancer Nursing，18(1)，16-22。  new window
29.Risser, Nancy L.(1975)。Development of an Instrument to Measure Patient Satisfaction with Nurses and Nursing Care in Primary Care Settings。Nursing Research，24(1)，45-52。  new window
會議論文
1.American Pain Society(1991)。Quality assurance standard for relief of acute pain and cancer pain。the sixth world congress on pain。New York：Elsevier。  new window
圖書
1.Carr, D. B.、Jacox, A. K.、Chapman, C. K.、Ferrell, B.、Fields, H. L.、Heidrich, G.、Hester, N. K.、Hill, C. S.(1992)。Acute pain management: Operative or medicine procedures and trauma。Rockville, MD：Agency for Health care policy and Research。  new window
2.Peebles, R. J.、Schneidman, D. S.(1991)。Socio-economic factbook for surgery。Chicago：American College of Surgeons。  new window
 
 
 
 
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