在农村疼痛诊所进行评估和综合结果评估的共识指南
Sarah Campbell1, Karissa Knox1, Sarah Lazarus1
1University of South Florida, College of Nursing, Tampa, Florida.
概括
这项研究为农村疼痛诊所建立了共识指南,推特定的疼痛评估工具,如数值评分尺度和功能性结果措施,如奥斯威斯特残疾指数,以改善患者护理.
科学领域:
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
- 农村卫生 农村卫生
背景情况:
- 护士麻醉学计划可以改善农村的疼痛管理.
- 缺乏对农村疼痛评估和结果评估的共识指南.
- 需要在农村疼痛诊所进行标准化,可靠的测量.
研究的目的:
- 制定共识指导方针,用于农村疼痛诊所的综合结果评估.
- 定义疼痛评估和功能结果的特定时间间隔.
- 提供一个框架,在服务不足的地区提供一致和有效的疼痛管理.
主要方法:
- 使用了德尔菲模型,并获得了美国护士麻醉学非手术疼痛管理咨询小组的专家反.
- 进行多轮调查以达成共识 (>70%的同意).
- 根据调查结果,反复改进评估工具和时间.
主要成果:
- 在使用数值评分表来衡量疼痛严重程度方面达成共识.
- 同意Wong-Baker FACES疼痛评分尺度用于沟通障碍和简要的疼痛指数-功能性结果的简短形式.
- 建立了奥斯韦斯特里残疾指数,用于功能结果和干预后14天内重新评估.
结论:
- 为农村疼痛诊所提供一个经过验证的,全面的结果评估计划.
- 为农村人口标准化疼痛评估和功能结果测量.
- 提高农村社区先进疼痛管理服务的质量和一致性.
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