腹部手术患者术后镇痛自我管理行为现状及影响因素分析

目的调查腹部手术患者术后镇痛自我管理行为现状，并探讨其影响因素。方法采用腹部手术患者术后镇痛自我管理行为问卷、手术疼痛认知量表、医学应对问卷和社会支持评定量表对行腹部手术的116例患者进行问卷调查。结果腹部手术患者术后镇痛自我管理行为得分为（26．11±1．74）分，处于较低水平；手术病史、面对的应对方式及手术疼痛认知是影响患者术后镇痛自我管理行为的主要因素。结论患者术后镇痛自我管理行为的现状不理想，建议根据影响患者术后镇痛自我管理行为的因素，制订针对性的措施。

Analysis of the status and infuencing factors of postoperative pain self-management behaviors among abdominal surgery patients

Objective To investigate the current status of the postoperative analgesia self - management behavior among abdominal surgery patients, and analyze influencing factors. Methods A total of 116 patients after adbomial surgery were recruited and investigated with a self - designed postoperative pain self - management behaviors questionnaire, Operational Pain Cognition Scale, Medical Coping Modes Questionnaire, and Social Support Rating Scale. Results The score of postoperative pain self - management behavior was （26.11 ± 1.74）, at a lower level. Surgical history, coping styles and postoperative pain cognition were the main influential factors of pain self - management behavior. Conclusion The current status of self - management in abdominal surgery patients is not ideal, so targeted interventions should be taken according to the influening factors.