开发和实施乳腺癌外科手术的术后疼痛管理指南:领导层的观点
Mouza Al Ameri1, Nandan M Shanbhag1,2
1Department of Oncology, Tawam Hospital, Al Ain, ARE.
Cureus
|December 25, 2023
概括
大多数乳腺癌患者经历了明显的术后疼痛,突出了改善疼痛管理策略的迫切需要. 这项研究制定了量身定制的指导方针,以加强阿联以患者为中心的护理和康复.
科学领域:
- 在瘤学瘤学.
- 疼痛管理 疼痛管理
- 医疗保健指南 医疗保健指南
背景情况:
- 持续的术后疼痛会对乳腺癌幸存者的生活质量产生负面影响.
- 有效的疼痛管理对于患者的满意度,康复和出院至关重要.
- 对于乳腺癌患者,以患者为中心的术后疼痛管理指南存在着公认的缺陷.
研究的目的:
- 为阿联的乳腺癌患者制定量身定制的术后疼痛管理指南.
- 将这些指导方针纳入更广泛的瘤设施网络.
- 为了解决改善以患者为中心的疼痛管理策略的确定的需求.
主要方法:
- 采用了质量重点的混合方法方法.
- 通过术后满意度调查,从10名乳腺癌患者收集了数据.
- 与六名参与制定指南的医疗保健专业人员进行了半结构化访谈.
主要成果:
- 90%的患者报告了中度至极度的术后疼痛,表明急需进行干预.
- 加强护士培训和手术前患者教育被确定为改善的关键因素.
- 一致同意制定专门的术后疼痛管理指南的必要性.
结论:
- 在乳腺癌护理中,急需加强术后疼痛管理.
- 多学科,基于证据,以患者为中心的指导方针是必不可少的.
- 国际合作和持续的质量改进 (例如PDSA周期) 对于准则的开发和完善至关重要.
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