术前疼痛知识教育对腹部术后疼痛控制效果的影响

目的了解术前疼痛知识教育对腹部术后患者对疼痛控制的认识、所采取的疼痛控制措施及疼痛控制效果的影响。方法采用非同期对照方法，将84例腹部手术患者分成两组，每组42例。术前对试验组进行疼痛知识教育及常规指导，对照组只进行常规指导，术后第2天下午完成“术后疼痛控制问卷”调查。结果试验组对疼痛控制的认识高于对照组（P〈0．05）。试验组术后采取深呼吸、听音乐的患者较对照组多（P〈0．05）；试验组患者能更为正确地使用镇痛泵（P〈0．05）；两组主动要求使用止痛药的人次及疼痛分值差异无统计学意义（P〉0．05）。试验组术后疼痛分值较对照组低（P〈0．05）。结论术前疼痛知识教育能提高腹部术后患者对疼痛控制的认识，促使其主动参与术后疼痛控制，从而提高术后疼痛控制效果。

Effect of a Preoperative Pain Education Program on Postoperative Pain Management after Abdominal Surgery

Objective To evaluate the effects of a preoperative pain education program on patients' knowledge of postoperative pain management, measures taken for such pain management and the actual postoperative pain. Methods A total of 84 patients undergoing abdominal surgery were non-randomly divided into two groups, 42 in each group. Patients in group A received routine preoperative care and 30 minutes of education about pain management, while patients in group B received routine preoperative care only. All patients completed the Postoperative Pain Management Questionnaire on the second postoperative day. Results Patients in group A achieved higher scores for their knowledge about postoperative pain management than those in group B (P<0.05). More patients in group A took non-medical pain relief methods after surgery (P<0.05); and patients in group A were able to use the PCA pump more correctly than those in group B (P<0.05). No significant differences were observed between the two groups in the frequency of asking for analgesics or their pain score when they requested analgesics (P>0.05). The average score for postoperative pain was lower for group A compared to group B (P<0.05). Conclusions A program of preoperative pain education can improve patients' knowledge of postoperative pain management and encourage them to participate actively in such pain management, so as to further relieve the postoperative pain.