Establishing And Clinical Empirical Study On Pain Care Management Model Of Kidney Transplant Recipients

【Objective】Construct the pain care management model of kidney transplant recipientsand evaluated the effects. By applying to clinical, relieve the postoperative painand improve the comfort and satisfaction of kidney transplant recipients.【Methods】1. Using Delphi Method and consulting15experts in2times to establishthe pain care management model of kidney transplant recipients. It is the activecoefficient, authoritative coefficient, harmonious degree and concentrationdegree that were used to test the credibility of expert opinions. The internalconsistence and validity was calculated by Cronbach’a alpha and contentvalidity respectively.2. A cluster sample of100patients who accepted Allogeneic renaltransplantation were selected during April to December,2013, in a generalhospital grand3A. Patients were randomly divided into a control group and thetest group equally. Control group using the traditional nursing measures whilethe test group using the pain care management model of kidney transplantrecipients additional. The termination time of intervention is3dayspostoperative. Investigate the patients by Post-operative pain managementrecord table, General Comfort Questionnaire and postoperative painmanagement satisfaction questionnaire. The investigate time points including:①Into the Intensive Care Unit after surgery, record sedation score;②first dayafter operation, record pain intensity and pain location;③4days after operation,investigate exhaust time, getting out of bed time, comfort degree and satisfaction.Besides, record pain intensity and pain location again. Use two-sample t test ornonparametric test to compare the sedation score, exhaust time, getting out ofbed time, comfort degree and satisfaction. Using two-factor repeated measuresANOVA comparing pain intensity. Use multiple regression correlation todiscover the correlation between pain intensity, comfort degree and satisfaction and basic information and interventions respectively. When P<0.05, the resultswas considered statistically significant.【Results】1. The pain care management model including2dimensions,6first-orderentries,7second-order entries and69third-order entries. The active coefficientis100%, the authoritative coefficient is0.87, the harmonious degree is0.22（P=0.000）and the coefficient of variation is vary from5.23%to29.28%. TheCronbach’a alpha of the scale is0.92and the content validity index (CVI) of themodel is0.98.2. Empirical research（1） The control group and test group have no significant differencebetween basic information, sedation score, exhaust time, getting out of bed time（P<0.05）.（2）The control group and test group have significant difference betweenpain location（especially in waist and back）, pain intensity, comfort degree andsatisfaction（P<0.05）.（3）multiple regression correlation：Set the pain intensity, comfort degreeand satisfaction as dependent variables respectively, basic information andinterventions as independent variables, using regression analysis to explore thecorrelation between dependent variables and independent variables. Theregression equations were: pain intensity=7.12-2.30*intervention+0.71*donorsources； comfort degree=66.21+1.06*physiological+5.56*intervention；Satisfaction=14.25+2.64*intervention.【Conclusion】The content of pain care management model of kidney transplant recipientsis reasonable and close to clinical. The structure of the model is innovative andeasy to use. Using this model, we can reduce the postoperative pain of kidneytransplant recipients effectively, then improve the comfort degree and increasesatisfaction. As a result, we can improve the quality of life in renal transplantrecipients.