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是否可行?一项将补充疗法纳入过渡护理病房疼痛管理计划的质量改进项目。

Is it Feasible? A Quality Improvement Project to Integrate Complementary Therapy Into a Pain Management Program on a Transitional Care Unit.

机构信息

North Hennepin Community College, Brooklyn Park, MN

St. Paul, MN.

出版信息

J Dr Nurs Pract. 2022 Feb 1;15(1):46-56. doi: 10.1891/JDNP-D-20-00037.

Abstract

BACKGROUND

The cost of pain to society is high, not only in dollars but in physical and emotional suffering. Undertreated pain in the geriatric population can lead to functional impairments and diminished quality of life. A transitional care unit (TCU) described having higher levels of moderate to severe pain than state and national levels in like facilities.

OBJECTIVE

A team of university faculty and students, and staff members from the TCU developed a quality improvement project to examine the feasibility of integrating complementary therapies to treat pain into clinical practice.

METHODS

The team integrated three evidence-based complementary therapies into staff workflow.

RESULTS

The nursing and therapy staff reported minimal to no interruption to their workflow when patients used the complementary therapies. Staff expressed satisfaction with an expanded menu of pain management options. Patients reported statistically significant lower ( = 0.002) pain levels after using the complementary therapies and benefits beyond pain relief, including relaxation, stress reduction, and improved sleep.

CONCLUSION

Adding complementary therapies to the pain management program was feasible and the patients had less pain along with other benefits when using the therapies with standard care.

IMPLICATIONS FOR NURSING

Having additional methods for managing pain is beneficial and vital.

摘要

背景

社会的疼痛成本很高,不仅体现在金钱上,还体现在身体和情感上的痛苦。老年人群体中疼痛治疗不足可能导致功能障碍和生活质量下降。一家过渡护理病房(TCU)的中度至重度疼痛水平高于同类设施中的州和国家水平。

目的

一组大学教师和学生以及 TCU 的工作人员共同制定了一项质量改进项目,以检验将补充疗法纳入临床实践以治疗疼痛的可行性。

方法

该团队将三种循证补充疗法融入到员工的工作流程中。

结果

护理和治疗人员报告说,当患者使用补充疗法时,他们的工作流程几乎没有受到干扰。工作人员对疼痛管理方案的扩展表示满意。患者报告称,使用补充疗法后疼痛水平显著降低(=0.002),除了缓解疼痛外,还带来了其他益处,包括放松、减轻压力和改善睡眠。

结论

在疼痛管理方案中增加补充疗法是可行的,患者在接受标准护理和使用补充疗法后疼痛减轻,同时还能获得其他益处。

对护理的意义

拥有更多的疼痛管理方法是有益和必要的。

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