Saramma P P, Mathew Rikku
Nurs J India. 2013 May-Jun;104(3):101-3.
Pain assessment and its management in patients undergoing craniotomy, especially those with communication barriers, continue to present challenges to nurses. The present study was undertaken to assess the level of post-operative pain suffered by patients after craniotomy, to identify the activities that increase/relieve pain and to find out association between pain score of patients and selected variables. A self-prepared validated questionnaire and Wong Bakers Faces pain scale were used as the tools. The post-operative pain was mild to moderate and decreased from first to third postoperative day. Pain relief was adequate with the combination therapy of non-narcotic analgesics and non-steroidal anti-inflammatory drugs. The study revealed that there was no significant difference between the pain perception and age or gender of the patient. The activities that increased pain were surgical dressing removal and position changing. Nursing staff should focus on assessing and managing post-operative pain to improve quality of nursing care in order to improve the comfort of craniotomy patients.
开颅手术患者的疼痛评估及其管理，尤其是那些存在沟通障碍的患者，仍然给护士带来挑战。本研究旨在评估开颅手术后患者的术后疼痛程度，确定加剧/缓解疼痛的活动，并找出患者疼痛评分与选定变量之间的关联。使用自行编制并经验证的问卷和面部表情疼痛量表作为工具。术后疼痛为轻至中度，从术后第一天到第三天逐渐减轻。非麻醉性镇痛药和非甾体抗炎药联合治疗的疼痛缓解效果良好。研究表明，患者的疼痛感知与年龄或性别之间没有显著差异。加剧疼痛的活动是手术敷料拆除和体位改变。护理人员应专注于评估和管理术后疼痛，以提高护理质量，从而改善开颅手术患者的舒适度。
