Department of Surgical Nursing, Medical University of Bialystok; Szpitalna 37, 15-295 Bialytsok, Poland.
Department of Integrated Medical Care, Medical University of Bialystok, M. Skłodowskiej-Curie str. 7a, 15-096, Bialystok, Poland.
Medicina (Kaunas). 2020 Feb 7;56(2):65. doi: 10.3390/medicina56020065.
Choosing a pain management strategy is essential for improving recovery after surgery. Effective pain management reduces the stress response, facilitates mobilization, and improves the quality of the postoperative period. The aim of the study was to assess the effectiveness of pain management in patients after surgery. The study included 216 patients operated on in the following surgical wards: the Department of Cardiosurgery and the Department of General and Endocrine Surgery. Patients were hospitalized on average for 6 ± 4.5 days. Patients were randomly selected for the study using a questionnaire technique with a numerical rating scale. Immediately after surgery, pre-emptive analgesia, multimodal analgesia, and analgosedation were used significantly more frequently than other methods ( < 0.001). In the subsequent postoperative days, the method of administering drugs on demand was used most often. Patients with confirmed complications during postoperative wound healing required significantly more frequent use of drugs from Steps 2 and 3 of the World Health Organization (WHO) analgesic ladder compared with patients without complications. The mode of patient admission for surgery significantly affected the level of pain perception. Different pain management methods were used and not every method was effective.
选择疼痛管理策略对于改善手术后的康复至关重要。有效的疼痛管理可以减轻应激反应，促进活动，并提高术后期间的生活质量。本研究旨在评估疼痛管理在手术后患者中的效果。
该研究纳入了在以下外科病房接受手术的 216 名患者：心胸外科和普通及内分泌外科。患者平均住院 6±4.5 天。使用数字评分量表的问卷调查技术随机选择患者进行研究。
在手术后，预防性镇痛、多模式镇痛和镇静镇痛的使用频率明显高于其他方法（<0.001）。在随后的术后几天，按需给药的方法是最常用的。与无并发症的患者相比，术后伤口愈合确认并发症的患者需要更频繁地使用世界卫生组织（WHO）镇痛阶梯第 2 步和第 3 步的药物，这是有统计学意义的（<0.001）。患者手术入院的模式显著影响疼痛感知水平。使用了不同的疼痛管理方法，但并非每种方法都有效。
