中轴型脊柱关节炎患者疼痛自我管理方案的设计及实施
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女,硕士,护士

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Development and implementation of pain self-management program for patients with axial spondyloarthritis
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    目的 促进中轴型脊柱关节炎患者自我管理疼痛。 方法 将中轴型脊柱关节炎住院患者按照住院时间段分组,对照组(41例)接受常规治疗护理,干预组(45例)实施基于Delphi法设计的疼痛自我管理方案。干预3个月后,测量两组疼痛自我管理阶段、疼痛强度及其影响与疼痛自我效能。 结果 干预后干预组疼痛自我管理阶段分布显著变化,与对照组比较,差异有统计学意义(P<0.05)。干预后干预组疼痛强度及疼痛总体影响程度(日常生活、情绪、行走能力、日常工作、与他人关系、睡眠、生活兴趣)均显著改善,对照组除疼痛对与他人关系的影响外,其他评分也显著改善(P<0.05,P<0.01);干预后两组平均疼痛强度和疼痛自我效能均改善,但改善程度组间比较,差异无统计学意义(均P>0.05)。 结论 实施疼痛自我管理方案可改变患者自我管理疼痛的意愿及相关行为,有助于改善其疼痛强度和疼痛自我效能。

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    Objective To boost self-management of pain in patients with axial spondyloarthritis (axSpA). Methods Patients with axSpA were enrolled and chronologically divided into a control group (n=41), who received routine care, and an intervention group (n=45), who were subjected to the pain self-management program which was developed based on Delphi method. The stages of pain self-management, pain intensity and interference, and pain self-efficacy were measured at three months after the intervention. Results There were significant changes in stages of pain self-management in the intervention group into the intervention, and the distribution of stages of pain self-management had significant difference between the 2 groups (P<0.05).The intervention group significant before-after changes in pain intensity and overall pain interference (general activities, mood, walking, work, relations with others, sleep, and enjoyment of life); the control group also saw significant changes in all the above-mentioned outcomes except relations with others (P<0.05,P<0.01). There were also significant before-after changes in average pain intensity and pain self-efficacy in either of the 2 groups, though the changes between the 2 groups were not significant (P>0.05 for both). Conclusion Implementation of the pain self-management program could improve axSpA patients′ readiness to change pain-related behaviors, alleviate pain intensity, and enhance pain self-efficacy.

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邓诗裔,何懿,邓思思,孙尔维,李漓.中轴型脊柱关节炎患者疼痛自我管理方案的设计及实施[J].护理学杂志,2021,36(13):23-27

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  • 收稿日期:2021-02-17
  • 最后修改日期:2021-04-12
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  • 在线发布日期: 2022-12-13