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术后患者疼痛管理的结果:一项横断面研究。

Outcomes of Pain Management Among Postoperative Patients: A Cross-sectional Study.

机构信息

Faculty of Nursing, Near East University, Nicosia, North Cyprus, Turkey.

Nursing Department, School of Health Sciences, Atilim University, Incek, Golbasi Ankara, Turkey.

出版信息

J Perianesth Nurs. 2024 Apr;39(2):240-245. doi: 10.1016/j.jopan.2023.07.022. Epub 2023 Oct 26.

DOI:10.1016/j.jopan.2023.07.022
PMID:37897477
Abstract

PURPOSE

Postoperative pain management has always been a significant challenge for both hospital staff and surgical patients. Determination of pain management outcomes among surgically treated patients may help develop pain management strategies, improve health services that would yield better outcomes, and increase patient satisfaction. This study aimed to assess the outcomes of pain management among postoperative patients.

DESIGN

The study was a descriptive cross-sectional study.

METHODS

The research was performed on postoperative patients at two university hospitals in North Cyprus from July to September 2019. The study sample consisted of 90 patients from both hospitals. The Turkish Version of the revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R-TR) was used for data collection. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist was used to report the present study.

FINDINGS

This study showed that the overall mean for pain severity and the worst pain experienced by patients after 24 hours was slightly higher than medium. Examination of interference of the pain with functions demonstrated that patients experienced problems with physical activities and sleeping. The most experienced side effects were nausea and drowsiness, and the most common emotions were anxiety and helplessness during the postsurgery period. The satisfaction rate of the patients with postoperative pain management was relatively high.

CONCLUSIONS

A holistic approach with evidence-based practices is crucial for adequate postoperative pain management. The recommendations include the development of individual pain outcome strategies to improve overall satisfaction with pain management among postoperative patients.

摘要

目的

术后疼痛管理一直是医院工作人员和手术患者面临的重大挑战。评估手术治疗患者的疼痛管理结果有助于制定疼痛管理策略,改善医疗服务以获得更好的结果,并提高患者满意度。本研究旨在评估术后患者疼痛管理的结果。

设计

本研究为描述性的横断面研究。

方法

该研究于 2019 年 7 月至 9 月在北塞浦路斯的两所大学医院对术后患者进行。研究样本包括来自这两所医院的 90 名患者。使用修订后的美国疼痛协会患者结局问卷(APS-POQ-R-TR)土耳其语版收集数据。本研究报告采用了加强观察性研究的报告规范(STROBE)检查表。

结果

本研究表明,患者在术后 24 小时经历的疼痛严重程度和最剧烈疼痛的总体平均值略高于中度。对疼痛对功能的干扰的检查表明,患者在物理活动和睡眠方面存在问题。术后期间最常见的副作用是恶心和嗜睡,最常见的情绪是焦虑和无助。患者对术后疼痛管理的满意度相对较高。

结论

对于充分的术后疼痛管理,采用基于证据的综合方法至关重要。建议制定个体化的疼痛结局策略,以提高术后患者对疼痛管理的整体满意度。

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