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Jennifer H LeLaurin^1,2, Magda Montague³, Megan E Curtis³

¹Department of Health Outcomes and Biomedical Informatics, University of Florida College of Medicine, Gainesville, FL, USA.

Implementation research and practice

|April 7, 2025

概括

一个新的疼痛教练计划提供非药物疼痛管理替代方案,以减少阿片类药物的使用. 试点项目显示了患者和临床医生的积极反,突出了适应性疼痛管理策略的需要.

科学领域:

疼痛管理疼痛管理
整合性健康整合性健康
公共卫生公共卫生

背景情况:

阿片类药物流行需要替代性疼痛管理策略来减少阿片类药物依赖.
由于时间和成本等实际障碍,非药物治疗的疼痛管理尚未得到充分利用.
一个试点疼痛教练教育计划被开发来解决这些障碍在急诊室设置.

研究的目的:

描述一个疼痛教练教育者试点计划和一个非药物患者工具包的实施过程.
对计划实施的第一年进行初步评估.
评估将非药物治疗疼痛管理纳入紧急护理的可行性和有效性.

主要方法:

实施了一项多式疼痛教练教育计划,包括关于疼痛神经科学,OTC止痛药和整合技术的教育.
实施涉及EHR修改,利益相关方参与和员工培训.
该RE-AIM框架指导了使用EHR数据,程序记录和患者报告结果的评估.

主要成果:

在第一年进行了550个疼痛教练教育者课程.
61%的患者发现该计划有帮助,没有患者报告它没有帮助.
临床医生的反是积极的,每名患者的项目成本为344.35.5美元.

结论:

疼痛教练教育者计划是实施非药物治疗疼痛阿片类药物替代品的可扩展模型.
对干预和实施策略的调整对于提高计划的覆盖范围和有效性至关重要.
该计划展示了将非药物治疗疼痛管理纳入医疗保健环境的可行方法.

关键词:

紧急情况部门的急救部门.实施科学实施科学其他阿片类药物的替代品.疼痛管理疼痛管理程序评价程序评价程序评价

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