在西班牙一家三级医院的外科病房中进行术后疼痛管理:一个最佳实践实施项目的项目
Laura Collada-Fernández1, Gemma Tapiador-Gómez2, Leonor García-Tomé2
1Humanization and Social Work Area, Neurosurgery and Vascular Surgery Unit, General University Hospital of Ciudad Real, Ciudad Real, Spain.
JBI evidence implementation
|October 16, 2024
概括
实施基于证据的实践显著改善了手术患者的术后疼痛管理. 当医护人员认识到最佳实践对患者的直接益处时,医护人员的合规性增加了.
科学领域:
- 护理 护理 护理
- 基于证据的实践.
- 疼痛管理 疼痛管理
背景情况:
- 手术后疼痛影响超过80%的患者,对生活质量,康复和医疗保健成本产生负面影响.
- 有效的疼痛管理对于患者的结果和高效的医疗保健服务至关重要.
- 实施基于证据的建议可以减轻疼痛控制不良的负面影响.
研究的目的:
- 通过实施最佳实践建议来加强术后疼痛管理.
- 通过优化疼痛控制策略来改善患者的生活质量和功能恢复.
主要方法:
- 利用JBI证据实施框架,结合审计和反流程.
- 在第三级医院的外科病房进行了基线和后续审计,涉及30名患者.
- 识别了障碍,并实施了战略,以改善对疼痛管理最佳实践的遵守.
主要成果:
- 在实践中观察到最初的改善,随后由于协议延迟和员工动机下降而下降.
- 随后的审计表明,对最佳实践的遵守程度有所增加,表明进展,但突出了需要进一步发展的领域.
结论:
- 基于证据的实践实施对护士在疼痛管理中的临床实践产生了积极的影响.
- 医疗保健工作人员在患者的好处明显时,表现出更多地遵守建议.
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