心脏手术后疼痛管理的患者经验:一种混合方法研究
Jo McDonall1, Jessica Wilson2, Mari Botti3
1School of Nursing and Midwifery, Deakin University Geelong, Victoria, Australia; Institute of Health Transformation, Centre for Quality and Patient Safety Research, Epworth HealthCare Partnership, Deakin University Geelong, Victoria, Australia.
概括
宫切除术后的心脏手术患者往往会经历严重的疼痛,阻碍恢复. 不充分使用必要的止痛药和不充分的疼痛评估有助于这种情况,影响患者参与必要的恢复活动.
科学领域:
- 心血管外科心血管外科
- 疼痛管理 疼痛管理
- 术后恢复 术后恢复
背景情况:
- 有效的疼痛管理对于通过胸腔切除术进行心脏手术后的患者康复至关重要.
- 适当的疼痛控制有助于早期动员和参与基本的恢复活动,如深呼吸和咳.
研究的目的:
- 通过胸腔切除术来描述心脏手术后的止痛药的处方和使用实践.
- 探索患者的疼痛经历及其对早期术后护理参与的影响.
主要方法:
- 试点描述性探索性研究,采用混合方法方法.
- 医疗记录审计,查看止痛药的细节和疼痛评分 (手术后的前3天).
- 与20名术后患者 (3-4天) 进行半结构面试和验证问卷.
主要成果:
- 大多数患者 (95%) 接受了计划中的止痛药,但只有22%的可用阿片类药物在第一天被给予,12%在第二天被给予.
- 患者在休息和运动时报告的疼痛水平高于记录中的记录.
- 在康复期间观察到患者疼痛强度经历的显著变化.
结论:
- 心脏手术后的严重疼痛可能会阻碍恢复活动,突出突破性疼痛管理的差距.
- 护士应评估休息和运动中的疼痛,并根据需要有效地给予止痛药.
- 告知患者疼痛控制与康复参与之间的联系至关重要.
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