患者对在全关节整形术后出院后疼痛的简短网络和正念干预措施的感知:定性描述
Geraldine Martorella1,2, Adam Wesley Hanley1, Kathryn Elizabeth Muessig1,2
1College of Nursing, Florida State University, 98 Varsity Way, Tallahassee, FL, 32306, United States, 1 8506459758, 1 8506447660.
JMIR nursing
|August 6, 2025
概括
这项研究探讨了患者对治疗术后疼痛的正念干预措施的看法. 患者认为这种干预是可以接受的,强调了疼痛接受和补充缓解等好处,尽管有些人面临着新的正念实践的挑战.
科学领域:
- 疼痛管理 疼痛管理
- 术后恢复 术后恢复
- 基于正念的干预措施
背景情况:
- 大型手术出院后报告有明显的疼痛,存在慢性化风险.
- 患者需要支持来管理出院后的疼痛,但干预措施很少,特别是在全关节形术 (TJA) 后.
- 对于外科手术疼痛的出院后正念干预措施的可接受性在很大程度上仍未被探索.
研究的目的:
- 质量地探索患者对TJA后出院后疼痛的简短,基于网络和正念的干预措施的看法.
- 了解有助于干预在术后康复阶段被接受的细微因素.
主要方法:
- 使用定性描述方法来评估患者对初步疼痛管理干预措施的看法.
- 在4周的干预结束时 (手术后6周),对16名参与者进行了半结构面试.
- 内容分析被用来从参与者的反中确定关键主题.
主要成果:
- 关键主题包括正念,接受疼痛和补充缓解.
- 干预措施被普遍认为是相关的,适合恢复,尽管最初的挑战与正念的新奇性.
- 参与者的参与和准备与坚持相关;满足预期并提供额外的支持可以提高结果.
结论:
- 基于正念的干预措施显示出作为TJA后疼痛和恢复的辅助治疗的前景.
- 在手术前后整合非药理学方法可以优化疼痛缓解和预防并发症.
- 技术可以提高这种干预措施的可访问性和可扩展性,以便更广泛地覆盖患者.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
25
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
25
Peripheral Artery Disease IV: Nursing Management
44
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
44
Peripheral Artery Disease III: Interprofessional Care
29
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
29
Analgesia and Pain Management
793
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
793
Appendicitis-II: Diagnostic Studies and Management
145
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
145


