Costello Margaret
Margaret Costello is an assistant professor at Simmons College School of Nursing and Health Sciences in Boston. Contact author:
Am J Nurs. 2015 Nov;115(11):50-6. doi: 10.1097/01.NAJ.0000473315.02325.b4.
Patients expect and deserve adequate postoperative pain relief. Opioid analgesics are widely used and effective in controlling postoperative pain, but their use poses risks that many patients don't understand and that all too often result in adverse outcomes. Inappropriate and often dangerous use of prescription medication has increased sharply in the past two decades in the United States. Patients and caregivers must have an adequate understanding of safe use, storage, and disposal of opioids to prevent adverse drug events in patients and others. Nurses play a key role in providing this patient education. This article provides a case study that highlights the risks and important aspects of opioid medication use in the postoperative patient.
患者期望并理应获得充分的术后疼痛缓解。阿片类镇痛药在控制术后疼痛方面被广泛使用且效果显著,但使用这些药物存在许多患者并不了解的风险,且常常导致不良后果。在过去二十年中,美国处方药的不当且往往危险的使用急剧增加。患者及其护理人员必须充分了解阿片类药物的安全使用、储存和处置方法,以防止患者及他人发生药物不良事件。护士在提供此类患者教育方面发挥着关键作用。本文提供了一个案例研究,突出了术后患者使用阿片类药物的风险及重要方面。