定义急诊室对止痛的需求:一个国际共识声明
Barbara Scotti1, Christian H Nickel2, Bojana Degen3
1Department of Internal Medicine and Emergency Department, Lucerne Kantonsspital, Sursee.
概括
六个关键因素,包括患者的感知和对缓解疼痛的渴望,预测了急诊室 (ED) 患者对止痛的需求. 这种共识的框架有助于开发更好的急性疼痛管理工具.
科学领域:
- 紧急医疗 紧急医疗
- 疼痛管理 疼痛管理
- 临床评估 临床评估
背景情况:
- 急性疼痛在急诊室 (ED) 非常普遍,需要准确的评估才能进行有效的干预.
- 目前缺乏"止痛需要"的明确定义,这阻碍了最佳的疼痛管理.
- 现有的疼痛评估工具可能无法充分捕捉ED患者疼痛的多方面的性质.
研究的目的:
- 建立关于急诊室 (ED) 患者需要镇痛的关键预测因素的共识.
- 开发一个多维的,以患者为中心的框架来评估急性疼痛.
- 为ED设置的新型疼痛评估工具奠定基础.
主要方法:
- 采用了经过修改的三阶段德尔菲共识方法.
- 一个由63名专家 (临床医生,研究人员,患者) 组成的国际小组参加了会议.
- 变量被生成,通过利克特尺度进行评分,并在更广泛的国际调查中得到验证.
主要成果:
- 确定了六个共识衍生变量:患者的疼痛感知,对止痛的渴望,疼痛耐受性,患者观察,护理人员的感知和提供者的感知.
- 这些变量在国际临床医生和患者 (72%-91%) 中显示出高度一致.
- 该研究成功地确定了影响疼痛缓解需要的关键因素.
结论:
- 这六个共识变量构成了以患者为中心的疼痛评估框架的基础.
- 该框架旨在改善ED中急性疼痛管理工具的开发和验证.
- 这些发现支持一种更全面的方法来评估在紧急护理中对止痛的需求.
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