一个NICU术后疼痛管理改进项目,以减少不受控制的疼痛,提高工作人员的满意度
Alicia Sprecher1,2, Kimberly Roeloffs1,2, Michelle L Czarnecki1,2
1Author Affiliations: Department of Pediatrics (Drs Sprecher and Uhing), Department of Anesthesiology (Dr Labovsky), Medical College of Wisconsin, Milwaukee, Wisconsin and Children's Wisconsin (Mss Roeloffs, and Czarnecki, Dr Kissell, and Ms Hornung), Milwaukee, Wisconsin.
在新生儿重症监护室 (NICU) 实施术后疼痛管理指南,减少了不受控制的疼痛和阿片类药物暴露,同时提高了工作人员的满意度.
科学领域:
- 新生儿护理 新生儿护理
- 儿科外科手术 儿科外科手术
- 改善医疗保健的质量.
背景情况:
- 新生儿手术后疼痛管理存在挑战,原因是疼痛的难以评估以及止痛药对婴儿发育的潜在负面影响.
- 新生儿疼痛管理实践的高度变化导致了员工的不满.
- 有效的疼痛控制对于高质量的新生儿护理至关重要.
研究的目的:
- 为了增强新生儿重症监护室 (NICU) 的婴儿的术后疼痛控制.
- 为了标准化疼痛管理方法,减少实践的变化.
- 提高员工对疼痛管理协议的整体满意度.
主要方法:
- 在2019年4月至2023年12月的第四级NICU中进行了一项质量改进项目.
- 干预措施的重点是提高疼痛评估的准确性和实施标准化疼痛管理指南.
- 关键的结果措施包括不受控制的疼痛频率,员工满意度和在手术后24小时内接触阿片类药物.
主要成果:
- 在指导方针实施后和维持期间,未经控制的术后疼痛从26%降至18%.
- 员工满意度显著提高,从67%上升到83%.
- 该研究观察到疼痛管理的变化减少,手术后阿片类药物暴露的减少.
结论:
- 一个标准化的术后疼痛管理指南有效地改善了新生儿的疼痛控制.
- 实施这些指导方针导致药物治疗方案变化减少,阿片类药物暴露减少.
- 使用指导方针对NICU环境中的员工满意度产生了积极的影响.
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