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埃塞俄比亚东北部南沃洛州政府医院医护人员术后疼痛管理。前瞻性横断面研究。

Management of postoperative pain among health professionals working in governmental hospitals in South Wollo Zone, Northeast Ethiopia. Prospective cross sectional study.

作者信息

Belay Mulusew Zeleke, Yirdaw Lehulu Tilahun

机构信息

Wollo University, Dessie, Ethiopia.

出版信息

Ann Med Surg (Lond). 2022 Jul 19;80:104148. doi: 10.1016/j.amsu.2022.104148. eCollection 2022 Aug.

Abstract

INTRODUCTION

Pain is a distressing experience associated with actual or potential tissue damage with sensory, emotional, cognitive and social components. Inadequate postoperative pain management leads to negative clinical outcomes such as extended hospitalization, poor recovery, diminished and decreases the quality of life, increased healthcare costs and utilization, higher morbidity and mortality, and the development of chronic pain. The study was used for the hospitals administrations, health professionals, committee that develop the pain management guideline, researcher, and governmental health institutions regarding the practice of postoperative pain management. The aim of this study was to assess the management of postoperative pain among health professionals working in governmental hospitals in South Wollo Zone, Ethiopia.

METHODS AND MATERIALS

A hospital-based prospective cross-sectional study was conducted from February 20, 2022 to March 25, 2022. The study population was selected from South Wollo Zone governmental hospitals and 386 samples were collected using a self-administered questionnaire and verified, coded and entered into Epidata software version 3.1 and it exported to SPSS version 23 for analyze. To summarize descriptive statistics frequencies, percentages, and mean were used and presented with tables, charts, and figures.

RESULT

386 participants were involved and making up 95.8% of the response rate. Among the respondents, 97.9% of the respondents had used pharmacological management. 51.3% applied non-pharmacological and 66.1% applied multimodality management of postoperative pain. Among pharmacological management, 48.7% of systemic analgesics technique, 26.3% of regional analgesics technique, and 25.0% of patient-controlled epidural analgesics, whereas in non-pharmacological management 40.4% of cold and heat application followed by 32.3% of immobilization was applied to the management of postoperative pain.

CONCLUSION AND RECOMMENDATION

The overall level of pharmacological, non-pharmacological and multimodality approach of post-operative pain management among health professionals in the study area was more than ninety, half and more than half of the participants, respectively. Postoperative pain management found in many key areas of postoperative pain management has an impact on the provision of effective pain management and optimal care given to surgical patients. This study provided an opportunity for health professionals working in hospitals, to evaluate themselves in the area of postoperative related to pain management.

摘要

引言

疼痛是一种与实际或潜在组织损伤相关的痛苦体验,具有感觉、情感、认知和社会等多方面因素。术后疼痛管理不当会导致负面临床结果,如住院时间延长、恢复不佳、生活质量下降、医疗成本和利用率增加、发病率和死亡率升高以及慢性疼痛的发生。本研究供医院管理人员、卫生专业人员、制定疼痛管理指南的委员会、研究人员以及政府卫生机构参考术后疼痛管理的实践情况。本研究的目的是评估埃塞俄比亚南沃洛州政府医院卫生专业人员对术后疼痛的管理情况。

方法和材料

于2022年2月20日至2022年3月25日进行了一项基于医院的前瞻性横断面研究。研究人群选自南沃洛州政府医院,使用自填式问卷收集了386份样本,并进行核实、编码,录入Epidata 3.1软件,然后导出至SPSS 23版本进行分析。为总结描述性统计数据,使用了频率、百分比和均值,并以表格、图表和图形形式呈现。

结果

386名参与者参与了研究,应答率为95.8%。在受访者中,97.9%的受访者采用了药物管理。51.3%采用了非药物管理,66.1%采用了术后疼痛的多模式管理。在药物管理中,48.7%采用全身镇痛技术,26.3%采用区域镇痛技术,25.0%采用患者自控硬膜外镇痛;而在非药物管理中,40.4%采用冷热敷,其次32.3%采用固定来管理术后疼痛。

结论与建议

研究区域卫生专业人员术后疼痛管理的药物、非药物和多模式方法的总体水平分别超过了90%、一半和一半以上的参与者。术后疼痛管理在术后疼痛管理的许多关键领域都对为手术患者提供有效的疼痛管理和最佳护理产生影响。本研究为医院卫生专业人员提供了一个机会,让他们在术后疼痛管理领域进行自我评估。

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