Coulling Sarah
Acute Pain Service, Epsom and St Helier University Hospitals NHS Trust.
Br J Nurs. 2007;16(11):S4-6, S8, S10 passim. doi: 10.12968/bjon.2007.16.Sup2.23693.
Under-treated pain can result in a number of potentially serious sequelae (Australian and New Zealand College of Anaesthetists, 2006), including delayed mobilization and recovery, cardiac complications, thromboses, pulmonary complications, delayed healing, psychosocial problems and chronic pain syndromes. This article considers pain management in the context of painful wounds. An international comparative survey on wound pain (European Wound Management Association, 2002) found that practitioners in the wound care community tend to focus on healing processes rather than the patient's total pain experience involving an accurate pain assessment and selection of an appropriate pain management strategy. Procedural pain with dressing removal and cleansing caused the greatest concerns. An overview of simple, evidence-based drug and non-drug techniques is offered as potential strategies to help minimize the experience of pain.
疼痛治疗不足可能会导致一些潜在的严重后遗症（澳大利亚和新西兰麻醉师学院，2006年），包括活动和恢复延迟、心脏并发症、血栓形成、肺部并发症、愈合延迟、心理社会问题以及慢性疼痛综合征。本文探讨伤口疼痛背景下的疼痛管理。一项关于伤口疼痛的国际比较调查（欧洲伤口管理协会，2002年）发现，伤口护理领域的从业者往往更关注愈合过程，而不是患者的整体疼痛体验，包括准确的疼痛评估和选择合适的疼痛管理策略。换药和清创时的操作疼痛引起了最大的关注。本文提供了简单的、基于证据的药物和非药物技术概述，作为帮助尽量减轻疼痛体验的潜在策略。
