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腹部手术后患者从麻醉后恢复室到术后病房的疼痛评估与管理

Pain assessment and management in patients after abdominal surgery from PACU to the postoperative unit.

作者信息

Wilding Jane R, Manias Elizabeth, McCoy Diarmuid G L

机构信息

Barwon Health, Centre for Education and Practice Development, Geelong, Victoria, Australia.

出版信息

J Perianesth Nurs. 2009 Aug;24(4):233-40. doi: 10.1016/j.jopan.2009.03.013.

DOI:10.1016/j.jopan.2009.03.013
PMID:19647660
Abstract

The aim of this exploratory study was to determine the effectiveness of pain relief for surgical patients (N = 52) in transition from the PACU to the postoperative unit. The study also explored whether there was an association between a verbal numeric pain score (0 to 10) on discharge from the PACU and the duration of time until analgesia was administered in the postoperative unit. Information was obtained about pain management, time of discharge, and patient pain scores on discharge from the PACU, as well as pain scores and the time of first analgesic administered in the postoperative unit. Most patients were discharged from the PACU with a pain score in the mild range (0 to 4), indicating reasonable pain relief. An association existed between the pain score on discharge from the PACU and the duration of time to the first analgesic dose administered on the postoperative unit.

摘要

这项探索性研究的目的是确定手术患者(N = 52)从麻醉后护理单元(PACU)过渡到术后病房时疼痛缓解的效果。该研究还探讨了从PACU出院时的言语数字疼痛评分(0至10)与术后病房给予镇痛药物之前的时间长短之间是否存在关联。获取了有关疼痛管理、出院时间、患者从PACU出院时的疼痛评分,以及术后病房的疼痛评分和首次给予镇痛药物的时间等信息。大多数患者从PACU出院时的疼痛评分为轻度范围(0至4),表明疼痛得到了合理缓解。从PACU出院时的疼痛评分与术后病房首次给予镇痛药物剂量的时间长短之间存在关联。

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