Orthopedic Institute, AdventHealth, Orlando, FL, USA.
Specialty Service Lines, AdventHealth, Celebration, FL 34747, USA.
Nurs Clin North Am. 2020 Jun;55(2):225-238. doi: 10.1016/j.cnur.2020.02.004.
Total joint replacement (TJR) is one of the most commonly performed and painful surgeries in the United States. Over the past few decades, regulatory changes increased the use of oral narcotics as a first-line treatment of this population. In the current opioid crisis, new pain management techniques and therapies have emerged. Research of current therapies, their effectiveness, and emerging best practices are discussed. Clear, thoughtful, and thorough education is an essential next step for closing the gap of the pain experience. Specifically, education of the frontline nurses, patients, and their caregivers on pain reduction techniques is essential.
全关节置换术（TJR）是美国最常见和最痛苦的手术之一。在过去的几十年中，监管方面的变化增加了将口服麻醉剂作为该人群一线治疗的使用。在当前的阿片类药物危机中，出现了新的疼痛管理技术和疗法。讨论了当前疗法的研究、它们的有效性和新兴的最佳实践。清晰、深思熟虑和全面的教育是缩小疼痛体验差距的重要下一步。具体来说，前线护士、患者及其护理人员在减少疼痛技术方面的教育至关重要。
