在特殊护理单位进行全关节和膝关节置换术后改善术后疼痛管理:一项最佳实践实施项目
Silvia Ruiz González1,2, Tamara López Rico1, Esperanza Arribas Arauzo3
1Intensive Care Unit nurse, San Eloy Hospital, OSI Barakaldo -Sestao (Osakidetza), Barakaldo, Basque Country, Spain.
JBI evidence implementation
|March 17, 2025
概括
实施最佳实践显著改善了关节和膝关节置换后的术后疼痛管理. 策略解决了护理人员的知识差距和对基于证据的护理的信心,提高了患者的治疗结果.
科学领域:
- 护理 护理 护理
- 基于证据的实践.
- 疼痛管理 疼痛管理
背景情况:
- 手术后疼痛影响到70%的外科手术患者,并且通常未得到充分治疗.
- 疼痛管理不足导致发病率,死亡率和慢性疼痛的增加.
- 有效的疼痛管理对于患者的康复和生活质量至关重要.
研究的目的:
- 为了增强术后疼痛管理在整部关节和膝盖置换后的最初四小时内.
- 促进在疼痛治疗中采用基于证据的实践.
- 为了减少术后疼痛的发生率和严重程度.
主要方法:
- 使用了乔安娜·布里格斯研究所 (JBI) 证据实施框架.
- 雇佣了JBI的临床证据系统的实际应用 (PACES) 和将研究付诸实践 (GRiP) 审计工具.
- 在西班牙一家医院对30名患者进行了三个阶段的基线和后续审计.
主要成果:
- 识别的障碍包括员工缺乏知识,电子记录不完整,信任度低,培训时间不足和参与度低.
- 制定和实施战略以克服已识别的障碍.
- 在实施后实现了符合所有审计标准的显著改进.
结论:
- 通过JBI证据实施框架开发的战略有效地改善了对最佳实践的遵守.
- 该项目对手术后疼痛管理方案产生了积极影响.
- 加强合规性有助于改善患者的治疗结果和减少并发症.
相关概念视频
Analgesia and Pain Management
419
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
419
SBAR II: Application of SBAR
4.3K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.3K
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
38
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
38


