Application of a Knowledge, Attitude, Belief, and Practice Model in Pain Management of Patients with Acute Traumatic Fractures and Alcohol Dependence.
Application of a Knowledge, Attitude, Belief, and Practice Model in Pain Management of Patients with Acute Traumatic Fractures and Alcohol Dependence.
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DOI：
10.1155/2022/8110896
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发表时间：
2022
影响因子：
2.9
通讯作者：
Zou J
中科院分区：
文献类型：
--
作者：
Dong Y;Gao H;Jin Z;Zhu J;Yu H;Jiang Y;Zou J
探讨知识、态度、信念和实践模式（KABP）在急性创伤性骨折合并酒依赖患者疼痛管理中的应用效果。 本回顾性病例对照研究纳入了2019年1月至2020年12月期间接受手术治疗的29例急性创伤性骨折酒精依赖男性患者。年龄30-65岁，平均50.03 ± 7.94岁。骨折类型。脊柱爆裂性骨折6例，四肢创伤性骨折23例。对照组10例采用常规护理，实验组19例采用KABP模式进行疼痛管理。对照组采用传统的疼痛护理方法，包括传统的数字评分量表（NRS）疼痛评分系统，重点是对症治疗。在此基础上，实验组采用KABP进行疼痛管理，包括认知行为干预、优化方案、改变个人信念和行为模式。分别于入院时、术前1d、术后3个月进行NRS、焦虑/抑郁自评量表（SAS）、生活质量量表（SF-36）评定。 KABP组围术期NRS评分低于对照组，术后焦虑水平明显改善。出院满意度明显高于对照组（P < 0.05）。实验组有促进健康的行为，出院后有5例患者表现出禁欲行为（P < 0.05）。 酒精依赖患者是围手术期疼痛管理的一组独特病例。为确保患者安全，通过应用KABP进行个体化疼痛管理可显著减轻术后疼痛，促进患者健康行为的产生。
To evaluate the outcome of a knowledge, attitude, belief, and practice mode (KABP) in the pain management in patients with acute traumatic fractures complicated with alcohol dependence. Twenty-nine alcohol-dependent male patients with acute traumatic fractures and who received surgical treatment between January 2019 and December 2020 were included in this retrospective case-control study. The age range was 30–65 years (average 50.03 ± 7.94). Fracture Type. Six cases of spinal burst fractures and 23 cases of limb trauma fractures. Ten patients were treated with routine nursing (control group), and 19 patients were treated with pain management in KABP mode (experimental group). The control group received traditional pain care, including the conventional numerical rating scale (NRS) pain score system, with focus on symptomatic treatment. On this basis, the experimental group managed pain using KABP, including cognitive behavioral intervention, optimization programs, modification of personal beliefs, and behavior patterns. NRS, self-rated anxiety/depression scale (SAS), and quality of life (SF-36) scale were applied at admission, 1 day before surgery, and 3 months after surgery. The perioperative NRS score of the KABP group was lower than that of the control group, and the postoperative anxiety levels improved. Discharge satisfaction was significantly higher than that in the control group (p < 0.05). There were behaviors promoting health in the experimental group, and five patients expressed abstinence behavior after discharge (p < 0.05). Patients with alcohol dependence represents a unique set of cases for perioperative pain management. To ensure patient safety, individualized pain management through the application of KABP can significantly reduce postoperative pain and promote the generation of healthy behaviors in patients.
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影响因子：
3.6
作者：
Gu X;Cheng W
通讯作者：
Cheng W
影响因子：
8.8
作者：
通讯作者：
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影响因子：
1
作者：
Kim, Yong-Tae;Shim, Jae-Hyuk;Baek, Hyeon-Man
通讯作者：
Baek, Hyeon-Man
影响因子：
5.1
作者：
BETTINGHAUS, EP
通讯作者：
BETTINGHAUS, EP
影响因子：
4.1
作者：
Patel, Niraj;Baker, S. Glenn;Scherer, Laura D.
通讯作者：
Scherer, Laura D.