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自我效能增强干预对下肢骨折患者疼痛和睡眠质量的影响

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目的:探讨自我效能增强干预对下肢骨折患者疼痛和睡眠质量的影响。方法:选择2012年5月~2013年12月在我院骨科住院的下肢骨折患者80例,将其随机分为观察组和对照组各40例,对照组于术前1天按常规护理模式进行术前教育;观察组于术前3天运用自我效能理论,根据影响自我效能感形成与改变的因素实施术前教育,具体包括授权患者进行自我管理、让患者操作 PCA 泵、激励、替代经验、给予患者支持系统、负性情绪的处理等措施。结果:观察组术后6h、12h、24h、48h 疼痛评分显著低于对照组(均P<0.02),观察组睡眠质量评分显著低于对照组(P<0.005)。结论:自我效能增强干预作为一种有效的临床干预手段,可有效降低疼痛水平,提高术后镇痛效果,改善患者睡眠质量。
Influence of self-efficacy intervention on the pain and sleep quality of patients with fracture of lower limb
To research the effect of self-efficacy intervention on the pain and sleep quality of patients with fracture of lower limb.Methods:Totaly, 80 patients were randomly split up into an observation group and a control group, with 40 cases in each group. Three days before the operation the control group received preoperative education according to the conventional nursing model; self-efficacy theory were use in the observation group,based on the factors affecting the formation and changes of self-efficacy implemented preoperative education, one day before the operation, education was intensified including: Patients were asked to operate the PCA pump; Incentive, vicarious experience, told them how to utilize their support system, negative emotion handling and so on. Result:The pain scores in the observation group at 6th, 12th, 24th and 48th postoperative hours were significantly lower than those in the control group (p<0.02 for al). Sleep quality score in the observation group is below the control group (p<0.005).Conclusion:Self-efficacy intervention as an effective method for clinical intervention, can effectively decrease the level of postoperative pain, improve analgesia effect and sleep quality in patients.

self-efficacy interventionpainsleep quality

王翠敏

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河北省唐山市丰南区医院 骨二科 河北 唐山 063000

自我效能干预 疼痛 睡眠质量

2014

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2014.(7)
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