在肩膀手术中进行术后疼痛评估:医疗保健专业人员之间的比较
Gregory Barlow1, Brandon L Ziegenfuss2, Sarah L Whitehouse3
1Queensland Unit for Advanced Shoulder Research (QUASR), Queensland University of Technology, Brisbane, QLD, Australia; 2(nd) Health Battalion, Australian Army, Gallipoli Barracks, Brisbane, QLD, Australia; School of Medicine, Griffith University, Gold Coast, QLD, Australia.
Journal of shoulder and elbow surgery
|February 11, 2025
概括
医疗保健专业人员,包括护士,医生和理疗师,在肩膀手术后高估了阿片类药物持续时间. 这凸显了对手术后疼痛管理的持续教育的需要,以与当前的指导方针保持一致.
科学领域:
- 疼痛管理 疼痛管理
- 外科手术的结果
- 医疗保健 专业教育 医疗保健 专业教育
背景情况:
- 多学科的医疗保健模型对于在肩膀手术后有效的术后疼痛管理至关重要.
- 卫生专业人员需要根据澳大利亚和新西兰麻醉师学院的指导方针对术后疼痛管理有充分的了解.
- 之前没有研究研究过医疗保健专业人员在肩部手术后对疼痛的感知.
研究的目的:
- 评估医疗从业者,物理治疗师和护士在肩部手术后对手术后疼痛和阿片类药物使用的看法.
- 在不同医疗保健学科的疼痛管理期望中识别潜在的差异.
主要方法:
- 为量化医疗保健专业人员对肩膀手术结果的看法,开发了一个带有视觉模拟秤的20部分问卷.
- 参与者 (n=132个完整答案) 评估了5种常见的肩膀手术的主观结果.
- 来自护理,附属卫生和医疗专业人员的数据被分析为与疼痛相关的问题.
主要成果:
- 与物理治疗师和医生相比,护士报告了更高的直接术后疼痛评分和更长时间的阿片类药物使用 (P < .05).
- 医生和物理治疗师之间没有发现疼痛评分或阿片类药物持续时间的显著差异 (P > .05).
- 所有专业群体都高估了评估的肩膀手术中阿片类药物需求的持续时间.
结论:
- 跨学科的医疗保健专业人员倾向于高估肩膀手术后的阿片类药物需求.
- 医生,护士和物理治疗师需要对疼痛评估和管理进行统一的教育.
- 视觉阿片类药物持续时间的差异可能源于对现有澳大利亚指南的不同认识.
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