中西医结合护理（中英文）2019，Vol.5Issue(3)：148-151,4.DOI:10.11997/nitcwm.201903041
基于阶段转变模型的疼痛自我管理教育对腰椎间盘突出症患者疼痛及自我效能的改善效果
Effect of self-management and education based on the transtheoretical model on pain control and self-efficacy of patients with lumbar disc herniation
摘要
Abstract
Objective To investigate the effect of self-management and education based on the transtheoretical model (TTM) on pain control and self-efficacy of patients with lumbar disc herniation (LDH). Methods According to sequence of hospital admission, 56 LDH patients in the control group were given routine pain management and education during hospitalization; another 56 patients in the observation group were given self-management and education based on the TTM. The degree of pain by Brief Pain Inventory (BPI) and the self-efficacy by Chronic Pain Self-efficacy Scale (CPSS) were observed and compared between two groups. The satisfactory degree of patients with nursing service was evaluated by a self-made questionnaire. Results After a three-month intervention, patients in the observation group had a lower BPI score compared with those in the control group (P ＜ 0. 01). Patients in the observation group achieved higher scores of The Self-Efficacy for Pain Management (PSE), Self-Efficacy for Functional Abilities(FSE) and Self-Efficacy for Coping with Symptoms(CSE) compared with those in the control group(P ＜ 0. 01). Patients in the observation group were more satisfied with the nursing service compared with those in the control group (P ＜ 0. 01). Conclusion The self-management and education interventions based on the TTM are effective to relieve the pain degree and improve the self-efficacy of LDF patients.关键词
阶段转变模型/疼痛/自我管理/腰椎间盘突出症/自我效能/健康宣教Key words
transtheoretical model/pain/self-management/lumbar disc herniation/self-efficacy/health educaiton分类
医药卫生引用本文复制引用
黄婷敏,钱宏..基于阶段转变模型的疼痛自我管理教育对腰椎间盘突出症患者疼痛及自我效能的改善效果[J].中西医结合护理（中英文）,2019,5(3):148-151,4.基金项目
无锡市医院管理中心科研项目(YGZXM1545) （YGZXM1545）
