Objective To investigate the effect of self-management and education based on the transtheoretical model (TTM) on pain control and self-efficacy of patients with lumbar disc herniation (LDH). Methods According to sequence of hospital admission, 56 LDH patients in the control group were given routine pain management and education during hospitalization; another 56 patients in the observation group were given self-management and education based on the TTM. The degree of pain by Brief Pain Inventory (BPI) and the self-efficacy by Chronic Pain Self-efficacy Scale (CPSS) were observed and compared between two groups. The satisfactory degree of patients with nursing service was evaluated by a self-made questionnaire. Results After a three-month intervention, patients in the observation group had a lower BPI score compared with those in the control group (P ＜ 0. 01). Patients in the observation group achieved higher scores of The Self-Efficacy for Pain Management (PSE), Self-Efficacy for Functional Abilities(FSE) and Self-Efficacy for Coping with Symptoms(CSE) compared with those in the control group(P ＜ 0. 01). Patients in the observation group were more satisfied with the nursing service compared with those in the control group (P ＜ 0. 01). Conclusion The self-management and education interventions based on the TTM are effective to relieve the pain degree and improve the self-efficacy of LDF patients.%目的 探究基于阶段转变模型的疼痛自我管理教育对腰椎间盘突出症患者疼痛及自我效能的改善效果.方法选取2015年7月—2016年12月收治的行常规疼痛自我管理教育的腰椎间盘突出症患者56例作为对照组,另选取2017年1月—2018年6月收治的以基于阶段转变模型进行疼痛自我管理教育的腰椎间盘突出症患者56例作为观察组.对比2组干预前后疼痛程度、自我效能变化及干预后临床满意率.结果干预3个月后,观察组简明疼痛评估量表(BPI)评分均低于对照组,差异有统计学意义(P＜0.01);干预3个月后,观察组自我效能感量表(PSE)、功能性自我效能感量表(FSE)、症状应对自我效能感量表(CSE)评分均高于对照组,差异有统计学意义(P＜0.01);观察组临床满意率高于对照组,差异有统计学意义(P＜0.01).结论 基于阶段转变模型的疼痛自我管理教育应用于腰椎间盘突出症患者,可有效减轻其疼痛程度,提高自我效能.
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