http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
수술 전 환자의 정서적 상태와 사회적 지지가 수술후 통증에 미치는 영향
이현수,김경희 중앙대학교 의과대학 간호학과 간호과학연구소 2002 중앙간호논문집 Vol.6 No.1
The abdominal surgery patients usually have an acute pain. It is important for a patient's quality of life and for good recovery after surgery to control the postoperative pain. The purpose of this study is to identify the effect of emotional state and social support of preoperative patiens on postoperative pain. The subjecxts of this study were the 100 abdominal surgery patients who received Intravenous Patient Controlled Analgesia (IV-PCA) at the end of the operation. The data collected using questionnaires and the period of the data collection was from March to August 2001. The instruments used for this study were The State-Trait Anxiety Inventory(STAI) Developed by Spielberger(1972). The Center for Epidemeolocic Studies-Depression(CES-D) scale, The Social Support scale developed by Park(1985) and Visual Analog scale(VAS). The data was analyzed by descriptive statistics, Pearson Correlation coefficient and Multiple Regression analysis using SPSS program. The results are as follows. 1. The realtionship between trait anxiety and postoperative pain revealed a significant posivive correlation(POD#1: r=0.51, POD#2: r=0.51, POD#3: r=0.50, p=0.0001), the relationship between state anxieth and postoperative pain revealed a significant positive correlation(POD#1: r=0.50, POD#2: r=0.55, POD#3: r=0.48, p=0.0001), the relationship between Depression and pain revealed a significant positive correlation(POD#1: r=0.49, POD#2: r=0.59, POD#3: r=0.59, p=0.0001) 2. The relationship between emotional support and postoperative pain revealed a significant negative correlation(POD#1: r=-0.44, POD#2: r=-0.54, POD#3: r=-0.53, p=0.0001), the relationship between informational support and postoperative pain revealed a signifecant negative correlation(POD#1: r=-0.44, POD#2: r=-0.50, POD#3: r=-0.53, p=0.0001), the relationship between material support and pain revealed a significant negative correlation (POD#1: r=-0.47 POD#2: r=-0.58, POD#3: r=-0.58, p=0.0001), the relationship between appraisal support and pain revealed a significant negative correlation (POD#1: r=-0.47, POD#2: r=-0.58, POD#3: r=-0.56, p=0.0001). 3. Regarding factors influencing pain, the POD#1 pain level was significantly affected by the trait anxiety level (p=0.001) and the depression level(p=0.006). The POD#2 pain level was significantly affected by the depression level(p=0.000) and the appraisal support level(p=0.000). The POD#3 pain level was significantly affected by the depression level(p=0.000) and the material support level(p=0.001).