关于阿片类药物和疼痛管理的创伤患者教育:质量改善项目
Carolina Chu1, Braden Rolig1, Dana M van der Heide2
1Carver College of Medicine, Department of Surgery, University of Iowa, Iowa City, IA.
Surgery
|October 10, 2024
概括
对创伤患者的阿片类药物使用和疼痛管理的患者教育减少了与疼痛相关的电话和处方补充. 这项质量改进计划减少了阿片类药物补充,但没有影响疼痛控制,从而提高了患者的护理.
科学领域:
- 创伤外科 手术 创伤外科
- 疼痛管理 疼痛管理
- 提高质量 提高质量
背景情况:
- 启动了一项质量改进项目,以减少急性护理手术患者的阿片类药物处方.
- 该项目重点是减少阿片类药物使用,而不影响疼痛控制.
- 对创伤患者实施了关于阿片类药物和疼痛管理的患者教育.
研究的目的:
- 评估患者教育对创伤患者阿片类药物处方和疼痛管理的影响.
- 确定患者教育是否可以减少阿片类药物使用,同时保持足够的疼痛控制.
- 评估患者报告的疼痛和需要阿片类药物补充剂的变化.
主要方法:
- 包括368名在2021年8月至2022年7月期间入院的创伤患者.
- 收集的数据包括人口统计数据,受伤严重程度,教育前后使用阿片类药物以及处方辅助药.
- 使用口服吗啡毫克相当剂 (MME) 标准化阿片类药物剂量;追踪疼痛和补充的电话.
主要成果:
- 患者教育导致非阿片类药物添加剂的处方增加 (P < .008).
- 对疼痛的电话 (OR = 0.356,P = .009) 和阿片类药物补充 (OR = 0.297,P = .004) 的显着减少.
- 没有注意到阿片类药物处方数量的显著变化,但放出MME与放出前的MME和伤害前的阿片类药物使用有关.
结论:
- 患者教育有效地减少了患者关于疼痛管理和需要阿片类药物处方补充的呼叫.
- 实施的教育策略在优化创伤患者的阿片类药物使用方面显示出前景.
- 这种方法支持在急性护理手术中持续改善疼痛管理质量.
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