Eti Aslan Fatma, Kula Şahin Sennur, Secginli Selda, Bülbüloğlu Semra
Agri. 2018 Jul;30(3):105-115. doi: 10.5505/agri.2018.96720.
The aim of this study was to investigate patient satisfaction with nursing practices regarding postoperative pain management.
A systematic review of the literature published between 2005 and 2015 was conducted, comprising a search of 7 databases: ScienceDirect, Turkish Medline, PsycINFO, Ovid, Prequest, Google Scholar, and the ULAKBIM Turkish Medical Database. Five articles were identified as eligible for review. The methodological quality of the studies was assessed using the Turkish version of the Joanna Briggs Institute-Meta Analysis of Statistics Assessment and Review Instrument (JBI -MAStARI) Critical Appraisal Checklist. The data were extracted using a standard data extraction form developed for this study, and subsequently evaluated.
In the articles eligible for this review, the study samples comprised patients with blunt or penetrating trauma sent to the emergency room (n=418) and those who underwent total knee replacement (n=120); heart, lung, or gastrointestinal system surgery (n=559); or open heart surgery (n=52). The maximum pain score was 7.20±1.95 (min-max: 0-10) and the maximum satisfaction score was 100%. The findings revealed that pharmacological methods were most frequently used for postoperative pain management and non-pharmacological methods were not used sufficiently by nurses. Nevertheless, the patients were satisfied with the postoperative pain relief nursing care.
In this systematic review, scientific evidence indicated that patient satisfaction with nursing practices related to postoperative pain management was high; however, non-pharmacological methods were used insufficiently in the last decade.
本研究旨在调查患者对术后疼痛管理护理措施的满意度。
对2005年至2015年间发表的文献进行系统综述,检索了7个数据库:科学Direct、土耳其医学索引、心理学文摘数据库、Ovid、Prequest、谷歌学术和土耳其医学数据库ULAKBIM。确定了5篇文章符合综述要求。使用土耳其版的乔安娜·布里格斯研究所-统计评估与综述工具的元分析(JBI-MAStARI)批判性评价清单对研究的方法学质量进行评估。使用为本研究开发的标准数据提取表提取数据,随后进行评估。
在符合本综述要求的文章中,研究样本包括被送往急诊室的钝性或穿透性创伤患者(n = 418)、接受全膝关节置换术的患者(n = 120);心脏、肺部或胃肠道系统手术患者(n = 559);或心脏直视手术患者(n = 52)。最大疼痛评分为7.20±1.95(最小值-最大值:0-10),最大满意度评分为100%。研究结果显示,术后疼痛管理最常使用药物方法,护士对非药物方法的使用不足。然而,患者对术后疼痛缓解护理感到满意。
在本系统综述中,科学证据表明患者对与术后疼痛管理相关的护理措施满意度较高;然而,在过去十年中,非药物方法的使用不足。