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Effect of patient empowered pain man...

University of Nebraska Medical Center.

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Effect of patient empowered pain management on pain and functional status following total knee arthroplasty.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Effect of patient empowered pain management on pain and functional status following total knee arthroplasty./
作者:	Dahlen, Larry.
面頁冊數:	157 p.
附註:	Adviser: Lani Zimmerman.
Contained By:	Dissertation Abstracts International68-11B.
標題:	Health Sciences, Medicine and Surgery. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoeng/servlet/advanced?query=3289622
ISBN:	9780549324720

Effect of patient empowered pain management on pain and functional status following total knee arthroplasty.
Dahlen, Larry.

Effect of patient empowered pain management on pain and functional status following total knee arthroplasty. - 157 p.

Adviser: Lani Zimmerman.

Thesis (Ph.D.)--University of Nebraska Medical Center, 2007.

Postoperative pain continues to be inadequately managed. For TKA patients pain can hinder achievement of improved functional status. A normal response to pain, perhaps even evolutionary in nature, is to reduce activity or limit movement of the leg. This response can lead to muscle weakness, muscle wasting, and further pain. Persistent pain or pain managed by reducing activity places the patient at increased risk for deep vein thrombosis, pneumonia, muscle wasting, urinary retention, constipation and chronic pain. This would clearly not be beneficial.

ISBN: 9780549324720Subjects--Topical Terms:

1017756
Health Sciences, Medicine and Surgery.

Effect of patient empowered pain management on pain and functional status following total knee arthroplasty.
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245 1 0 $a Effect of patient empowered pain management on pain and functional status following total knee arthroplasty.
300 $a 157 p.
500 $a Adviser: Lani Zimmerman.
500 $a Source: Dissertation Abstracts International, Volume: 68-11, Section: B, page: 7244.
502 $a Thesis (Ph.D.)--University of Nebraska Medical Center, 2007.
520 $a Postoperative pain continues to be inadequately managed. For TKA patients pain can hinder achievement of improved functional status. A normal response to pain, perhaps even evolutionary in nature, is to reduce activity or limit movement of the leg. This response can lead to muscle weakness, muscle wasting, and further pain. Persistent pain or pain managed by reducing activity places the patient at increased risk for deep vein thrombosis, pneumonia, muscle wasting, urinary retention, constipation and chronic pain. This would clearly not be beneficial.
520 $a An adaptation of the Common Sense Model, based on self-regulation theory provided the framework for the development of the PEPM intervention. Self-regulation is a systematic process involving conscious efforts to modulate thoughts, emotions, and behaviors in order to achieve goals in a changing environment. The purpose of this experimental pilot study was to test the influence of the Patient Empowered Pain Management (PEPM) intervention on pain and functional status in TKA patients over time (on postoperative days 1--4, 14, 42, and 84). Pain perception was assessed with the McGill Pain Questionnaire, trait anxiety with the State Trait Anxiety Inventory, state anxiety with the Hospital Anxiety and Depression Scale, and functional status was assessed with the SF-36v2(TM) Health Survey.
520 $a The intervention group had higher pain perception scores postoperatively than the routine care group with the exception of a lower affective score on postoperative day 84. The largest differences in pain intensity were noted on postoperative days 2 and 3. The difference in sensory score between groups was greatest on postoperative day 14. The intervention group made the greatest gain in physical function from preoperative baseline measure to postoperative day 84. Both groups use a wide variety of nonpharmacological means of pain management. Effect size was noted to be small.
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