Mendoza Antonio, Santoyo Fernando L, Agulló Alberto, Fenández-Cañamaque José L, Vivó Carmen
H. Arrixaca. Ctra Madrid-Cartagena, s/n El Palmar 30120, Murcia, Spain.
H. Miguel Servet. Paseo Isabel la Catolica, 1-3 Zaragoza 50009, Spain.
Int J Burns Trauma. 2016 Jan 10;6(1):1-10. eCollection 2016.
To describe the management of pain prevention associated with burn care.
Multi-centre, observational, cross-sectional, descriptive study performed in 4 burn units in Spain.
A total of 55 patients undergoing 64 procedures were analysed. Burns were classified as severe (90.4%), third-degree (78.2%) and caused by thermal agents (81.8%). Background analgesia consisted of non-opioid drugs (87.5%) and opioids (54.7%) [morphine (20.3%), morphine and fentanyl (14.1%) or fentanyl monotherapy (15.6%)]. Burn care was performed by experienced nurses (96.9%); 36.5% followed guidelines. The mean duration of procedures was 44 minutes (Statistical Deviation, SD: 20.2) and the mean duration of pain was 27 minutes (SD: 44.6). Procedural pain was primarily managed with opioid analgesics: fentanyl monotherapy and in combination (84%) and fentanyl monotherapy (48%) administered sublingually (89.1%). Patients described pain as different to usual baseline pain (97%), with a mean maximum intensity score of 4.2 points (SD: 3.3) on the VAS scale and a 34% increase in the intensity of pain. The mean patient and healthcare professional satisfaction score per procedure was 6/10 (SD: 1.9) and 5.5/10 (SD: 1.7), respectively.
The results of the study describe the management of pain associated with burn care in clinical practice, helping optimise pain control.
描述烧伤护理相关疼痛预防的管理。
在西班牙的4个烧伤病房进行的多中心、观察性、横断面描述性研究。
共分析了55例患者的64项操作。烧伤被分类为重度（90.4%）、三度（78.2%），由热剂引起（81.8%）。背景镇痛包括非阿片类药物（87.5%）和阿片类药物（54.7%）[吗啡（20.3%）、吗啡和芬太尼（14.1%）或芬太尼单一疗法（15.6%）]。烧伤护理由经验丰富的护士进行（96.9%）；36.5%遵循指南。操作的平均持续时间为44分钟（统计偏差，SD：20.2），疼痛的平均持续时间为27分钟（SD：44.6）。程序性疼痛主要用阿片类镇痛药处理：芬太尼单一疗法及联合应用（84%）和芬太尼单一疗法（48%），舌下给药（89.1%）。患者将疼痛描述为与通常的基线疼痛不同（97%），视觉模拟量表（VAS）上的平均最大强度评分为4.2分（SD：3.3），疼痛强度增加34%。每次操作患者和医护人员的平均满意度评分分别为6/10（SD：1.9）和5.5/10（SD：1.7）。
该研究结果描述了临床实践中烧伤护理相关疼痛的管理，有助于优化疼痛控制。
