患者报告的疼痛,满意度,不良反应和偏离门诊手术的偏差 止痛药物
Iiris Särkilahti1, Elina Reponen1, Noora Skants1
1Helsinki University Hospital and University of Helsinki, Perioperative and Intensive Care, Peijas Hospital, PO Box 900 (Sairaalakatu 1), FI-00029 HUS, Vantaa, Finland.
Scandinavian journal of pain
|June 6, 2024
概括
许多门诊手术患者经历了强烈的疼痛,但报告满意度疼痛缓解. 然而,药物不服药是常见的,往往没有被识别,影响术后恢复.
科学领域:
- 疼痛管理 疼痛管理
- 健行外科手术 健行外科手术
- 药物监督 药物监督 药物监督
背景情况:
- 门诊手术需要平衡有效的疼痛管理与尽量减少药物副作用.
- 由于阿片类药物滥用风险,赫尔辛基大学医院采用严格的氧化政策.
- 这项研究调查了根据这一政策在门诊手术患者的疼痛和不良影响.
研究的目的:
- 为了评估在门诊手术患者中严重的术后疼痛的患病率.
- 评估患者对缓解疼痛的满意度,并确定不良影响.
- 检查药物坚持性及其与处方方案的关系.
主要方法:
- 对111名成人门诊手术患者 (骨科,泌尿器科) 的前性队列研究.
- 在手术后一周记录了疼痛水平 (NRS 0-10) 和药物摄入量.
- 通过问卷评估患者的满意度,不良反应和坚持;药物摄入量被交叉引用.
主要成果:
- 56%的患者在一周内报告了强烈的疼痛 (NRS ≥5).
- 报告说,对缓解疼痛 (87%) 和处方药 (90%) 的高满意度.
- 常见的不良反应包括疲劳 (45%),睡眠障碍 (38%),恶心 (37%) 和便秘 (27%).
- 24%的人自我报告的偏离说明;14%的人超过了剂量,28%的人使用了不同的制剂.
结论:
- 尽管疼痛很大,但大多数门诊手术患者对疼痛管理感到满意.
- 普遍不遵守药物说明发生,往往没有患者的意识.
- 这强调了需要改善患者对药物使用和药物坚持的教育.
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