一个质量改善倡议,以减少在常规甲状腺和副甲状腺手术后的阿片类药物使用
Jordan West1, Nathan Boyd1, Antoinette Esce1,2
1Department of Surgery University of New Mexico Albuquerque, New Mexico USA.
OTO open
|March 6, 2025
概括
一个新的疼痛管理方案显著减少了甲状腺和副甲状腺手术患者的阿片类药物处方46.6%. 患者教育和年龄较大与较低的阿片类药物使用有关,而焦虑和排水位置增加了它.
科学领域:
- 疼痛管理 疼痛管理
- 外科手术的结果
- 提高质量 提高质量
背景情况:
- 甲状腺和副甲状腺手术后的术后疼痛管理需要有效的策略来最大限度地减少阿片类药物依赖.
- 疼痛管理协议的变化可能导致不一致的患者结果和阿片类药物处方模式.
研究的目的:
- 评估标准化外科手术期间疼痛管理方案对接受甲状腺和副甲状腺手术的患者手术后使用阿片类药物的影响.
- 为了比较阿片类药物使用在实施质量改善倡议之前和之后.
主要方法:
- 回顾性图表审查与前性患者调查相结合.
- 在甲状腺和副甲状腺手术中实施标准化疼痛管理协议.
- 使用描述性统计,单变量和多变量逻辑回归以及定性主题分析分析调查数据.
主要成果:
- 标准化方案使阿片类药物处方减少了46.6% (20.2%对11.0%,P <.01).
- 与减少阿片类药物处方相关的关键因素包括患者对疼痛管理和年龄的教育.
- 焦虑和手术排水的存在与阿片类药物处方的增加有关.
结论:
- 标准化疼痛管理咨询,强调明确的期望和非阿片类药物辅助措施,有效地降低了甲状腺和副甲状腺手术的术后阿片类药物处方.
- 针对性的患者教育和考虑患者特定的因素,如焦虑和排水使用,可以进一步优化疼痛管理策略.
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