PMID- 35360415
OWN - NLM
STAT- MEDLINE
DCOM- 20220404
LR  - 20220608
IS  - 1918-1523 (Electronic)
IS  - 1203-6765 (Print)
IS  - 1203-6765 (Linking)
VI  - 2022
DP  - 2022
TI  - Application of a Knowledge, Attitude, Belief, and Practice Model in Pain 
      Management of Patients with Acute Traumatic Fractures and Alcohol Dependence.
PG  - 8110896
LID - 10.1155/2022/8110896 [doi]
LID - 8110896
AB  - OBJECTIVE: 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. METHODS: 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. RESULTS: 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). CONCLUSION: 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.
CI  - Copyright (c) 2022 Ying Dong et al.
FAU - Dong, Ying
AU  - Dong Y
AD  - Department of Orthopaedic Surgery, The First Affiliated Hospital of Soochow 
      University, Suzhou, Jiangsu 215006, China.
FAU - Gao, Hui
AU  - Gao H
AD  - Department of Orthopaedic Surgery, The First Affiliated Hospital of Soochow 
      University, Suzhou, Jiangsu 215006, China.
FAU - Jin, Zheyu
AU  - Jin Z
AD  - Department of Orthopaedic Surgery, The First Affiliated Hospital of Soochow 
      University, Suzhou, Jiangsu 215006, China.
FAU - Zhu, Jue
AU  - Zhu J
AD  - Department of Orthopaedic Surgery, The First Affiliated Hospital of Soochow 
      University, Suzhou, Jiangsu 215006, China.
FAU - Yu, Hao
AU  - Yu H
AD  - Department of Orthopaedic Surgery, The First Affiliated Hospital of Soochow 
      University, Suzhou, Jiangsu 215006, China.
FAU - Jiang, Yingqing
AU  - Jiang Y
AUID- ORCID: 0000-0001-8379-6021
AD  - Department of Orthopaedic Surgery, The First Affiliated Hospital of Soochow 
      University, Suzhou, Jiangsu 215006, China.
FAU - Zou, Jun
AU  - Zou J
AUID- ORCID: 0000-0003-0443-3156
AD  - Department of Orthopaedic Surgery, The First Affiliated Hospital of Soochow 
      University, Suzhou, Jiangsu 215006, China.
LA  - eng
PT  - Journal Article
DEP - 20220215
PL  - United States
TA  - Pain Res Manag
JT  - Pain research & management
JID - 9612504
SB  - IM
MH  - Adult
MH  - Aged
MH  - *Alcoholism/complications/therapy
MH  - Case-Control Studies
MH  - Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pain Management
MH  - Pain, Postoperative/etiology/therapy
MH  - Quality of Life
MH  - Retrospective Studies
PMC - PMC8964231
COIS- The authors declare that they have no conflicts of interest.
EDAT- 2022/04/02 06:00
MHDA- 2022/04/05 06:00
PMCR- 2022/02/15
CRDT- 2022/04/01 05:21
PHST- 2021/12/23 00:00 [received]
PHST- 2022/01/28 00:00 [accepted]
PHST- 2022/04/01 05:21 [entrez]
PHST- 2022/04/02 06:00 [pubmed]
PHST- 2022/04/05 06:00 [medline]
PHST- 2022/02/15 00:00 [pmc-release]
AID - 10.1155/2022/8110896 [doi]
PST - epublish
SO  - Pain Res Manag. 2022 Feb 15;2022:8110896. doi: 10.1155/2022/8110896. eCollection 
      2022.