在多学科的外科手术期过渡性疼痛服务中患者的经验和临床结果
Divya Manoharan1, Anping Xie2,3, Yea-Jen Hsu4
1Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Journal of personalized medicine
|January 22, 2024
概括
过渡性外科手术期间疼痛服务 (TPSs) 可以改善患者的康复,并减少慢性阿片类药物使用. 患者重视个性化护理,医生关系和精神支持,实现持续的阿片类药物逐渐减少和出院后更好的功能.
科学领域:
- 疼痛医学 医学 疼痛医学
- 患者体验 患者体验
- 医疗保健提供模式 医疗保健提供模式
背景情况:
- 隔离疼痛管理增加了慢性阿片类药物使用风险,并阻碍了恢复.
- 过渡性术后疼痛服务 (TPSs) 协调护理以减轻这些风险.
研究的目的:
- 检查TPS中患者的体验和康复质量.
- 评估TPS对疼痛管理和功能的长期影响.
主要方法:
- 对26名患者的采访进行了定性内容分析.
- 采访平均在初次项目访问后33个月进行.
主要成果:
- 患者重视期望设置,个性化护理,患者与医生的关系以及共享决策.
- 对同时出现的疾病进行精神治疗被认为是恢复的关键.
- 参与者成功地逐渐减少了阿片类药物,持续减少了使用,并在出院后改善了功能.
结论:
- TPS 证明了患者的积极体验和复杂手术患者的持续临床益处.
- 支持进一步实施和适应TPS模型.
- 建议改善患者教育,护理连续性和解决健康决定因素.
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