Mubita Womba Musumadi, Richardson Cliff, Briggs Michelle
Research and Innovation, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.
Clinical Trials Management Offices, Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK.
Br J Pain. 2020 Feb;14(1):14-22. doi: 10.1177/2049463719854471. Epub 2019 Jun 17.
Monitoring and improving the quality of care is an ever increasing concern for health care organisations. Measuring the effectiveness of clinical outcomes is done by looking at specific markers of high quality care. Pain management is considered one of the markers of high quality care and satisfaction with pain management is a crucial and important quality assurance marker; yet, we know little about what contributes to a patient's decision about satisfaction.
A qualitative study drawing on phenomenological approach aiming to evaluate the perspective of patients experiencing post-operative pain. Patients undergoing major abdominal surgery were recruited from a Renal Transplant and Urology ward in the North of England, UK. Data were collected using in-depth semi-structured interviews and were analysed using Colaizzi's approach.
Ten patients participated in the study and three themes emerged from the analysis. The findings of this study revealed that in order to achieve satisfaction with the management of pain, patient care has to include information delivery which is timely and adequate according to a patient's individual needs, nurses should have a caring attitude and pain should be well controlled.
Satisfaction with pain management is influenced by good communication and information transfer, appropriate pain management and an empathic presence throughout.
监测和提高医疗质量是医疗机构日益关注的问题。通过查看高质量护理的特定指标来衡量临床结果的有效性。疼痛管理被视为高质量护理的指标之一,对疼痛管理的满意度是一个关键且重要的质量保证指标;然而,我们对影响患者满意度决策的因素知之甚少。
一项采用现象学方法的定性研究,旨在评估术后疼痛患者的观点。从英国英格兰北部的一个肾移植和泌尿外科病房招募接受腹部大手术的患者。使用深入的半结构化访谈收集数据,并采用柯莱齐的方法进行分析。
10名患者参与了该研究,分析得出了三个主题。本研究结果表明,为了实现对疼痛管理的满意度,患者护理必须包括根据患者个体需求及时且充分地提供信息,护士应具备关爱态度,并且疼痛应得到良好控制。
对疼痛管理的满意度受到良好沟通和信息传递、适当的疼痛管理以及全程共情陪伴的影响。