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在中国一家三级医院的术后患者中提高疼痛评估:一项最佳实践实施项目

Chengxiang Liu^1,2, Sainan Li^1,2, Juan Zhou^1,2

¹Author Affiliations: Department of Anesthesiology and Perioperative Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei City, Anhui Province, China (Mr Liu and Mrs Li, J. Zhou, R. Zhou, C. Zhu, S. Chen, and H. Chen); The Nanfang Nursing Centre for Evidence-based Practice: A JBI Centre of Excellence, Breast Center, Nanfang Hospital, Southern Medical University , Guangzhou City, Guangdong Province, China (Ms Zhao).

Journal of nursing care quality

|February 25, 2025

概括

改善术后疼痛管理是至关重要的. 这项研究提高了对麻醉重症监护室 (AICU) 基于证据的疼痛评估协议的遵守,从而改善了患者的康复.

科学领域:

在重症监护护理的基于证据的实践.
医疗保健质量改善倡议医疗保健质量改善倡议
手术后疼痛管理策略

背景情况:

手术后疼痛是影响患者康复,住院时间和医疗费用的常见并发症.
有效的疼痛管理取决于准确和及时的疼痛评估.
在中国合肥一家教学医院的麻醉重症监护室 (AICU) 发现了对基于证据的疼痛评估协议的低于最佳的遵守.

研究的目的:

改善在AICU内遵守基于证据的疼痛评估协议.
通过遵守协议,提高术后疼痛管理的质量.

主要方法:

一个基于证据的实施项目,利用Joanna Briggs Institute (JBI) 基于证据的医疗保健实施框架和模型.
进行了基线和后实施审计,涉及23名护士和50名患者.
实施教育计划和利益相关者重点小组,以推动协议遵守.

主要成果:

遵守三个关键审计标准的情况显著增加,从基准水平上升到92%.
该干预表明,依据证据的疼痛评估协议的遵守情况有66%的改善.
数据分析使用JBI的PACES软件进行.

结论:

实施项目成功提高了对基于证据的疼痛评估协议的遵守.
更好地遵守协议导致在AICU中更好的术后疼痛管理.
这一倡议突显了重症监护机构结构化实施策略的有效性.

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