在El-Emarati医院分娩期间的疼痛管理:临床审计
Reem Y Dabbour1, Tayseer A Hassan1, Maha S Faqawi1
1The Islamic University in Gaza, Gaza City, Gaza Strip, occupied Palestinian territory.
Lancet (London, England)
|March 20, 2018
概括
加沙的分娩疼痛治疗有显著差距, 药物选择有限, 没有提供区域麻醉. 患者选择和关于缓解疼痛的讨论也不足,不符合国家卫生和护理卓越研究所的指导方针.
科学领域:
- 产科和妇科
- 治疗疼痛
- 公共卫生
背景情况:
- 评估加沙地带拉法赫的El-Emarati医院的产痛管理实践.
- 将当前的做法与国家卫生和护理卓越研究所 (NICE) 的指南进行比较.
研究的目的:
- 评估分娩期间提供给妇女的缓解疼痛的方法是否足够.
- 确定现有的疼痛管理方案与已确立的国际标准之间的差异.
主要方法:
- 在2016年2月1日至4月1日期间连续抽取50名分娩患者的样本.
- 使用基于NICE指南的审计表收集数据.
- 包括非药理方法 (呼吸,放松,按摩) 和药理干预措施.
主要成果:
- 所有患者都接受了非药物治疗 (呼吸/放松技巧;100%;腹部按摩;70%).
- 在40%的患者中,药物治疗缓解了疼痛.
- 没有患者被告知药物的副作用,也没有提供区域麻醉.
结论:
- 在产痛管理方面存在重大缺陷,
- 患者的信息有限,缺乏缓解疼痛的选择.
- 实践应该更好地反映分娩疼痛经验和患者偏好的主观和个人性质.
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