实施最佳实践指南建议的有效性,以管理癌症住院患者的疼痛
Ana-Isabel Alcañiz-Mesas1, María-Victoria Ruiz-García2, María-Pilar Córcoles-Jiménez3
1Unidad de Oncología y Hematología, Hospital General de la Gerencia de Atención Integrada de Albacete, Albacete, Spain; Grupo de investigación NurSearch CLM, Instituto de Investigación Sanitaria de Castilla-La Mancha (IDISCAM), Castilla-La Mancha, Spain.
Enfermeria clinica (English Edition)
|November 11, 2024
概括
对癌症患者的疼痛管理实施临床最佳实践指南显著改善了护理流程. 然而,该研究发现,住院期间整体疼痛强度没有显著减少.
科学领域:
- 在瘤学瘤学.
- 疼痛管理 疼痛管理
- 临床实践指南 临床实践指南
背景情况:
- 对于住院的瘤/瘤血液病患者来说,有效的疼痛管理至关重要.
- 临床最佳实践指南 (BPG) 提供了针对疼痛控制的标准化建议.
- 评估BPG实施的影响对于改善患者护理至关重要.
研究的目的:
- 评估实施临床最佳实践指南 (BPG) 对住院癌症患者的疼痛管理的有效性.
- 评估BPG实施后疼痛评估和管理协议的变化.
- 确定BPG实施对患者疼痛强度的影响.
主要方法:
- 一项雄心勃勃的队列研究与成年患者在瘤病房进行.
- 在实施BPG之前和之后收集了关于疼痛强度,评估和管理计划的数据.
- 统计分析包括描述性统计,奇方位和学生t测试/ANOVA (p <0.05).
主要成果:
- 实施导致日常疼痛检测 (94.6%),疼痛量表 (97.6%) 和护理计划遵守 (93.7%) 的统计学显著改善.
- 在前24小时内经历严重疼痛的患者的百分比从T1下降到T3 (p=0.145).
- 然而,住院期间的整体严重疼痛强度从T1增加到T3 (p=0.21).
结论:
- 实施"临床最佳实践指南"显著改善了瘤患者的疼痛管理过程.
- 尽管在护理提供方面有所改善,但该研究并没有证明患者疼痛强度有统计学意义的减少.
- 可能需要进一步的研究来优化这种人群的疼痛管理策略.
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