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医院中的疼痛:真实世界数据分析

Pain in Hospital: A Real-Word Data Analysis.

作者信息

Claivaz Virginie, Benmachiche Malik, Santoro Zeina, Hadorn Fabienne, Mabire Cédric

机构信息

Clinical Nurse Specialist, Valais Hospital, Sion, Switzerland.

Internal Medicine Service, Lausanne University Hospital, Lausanne, Switzerland.

出版信息

Nurs Open. 2025 Mar;12(3):e70126. doi: 10.1002/nop2.70126.

Abstract

AIM

The study aim was to describe the prevalence of pain, its assessment, and its associated characteristics in a university hospital in the French-speaking part of Switzerland.

BACKGROUND

Despite many advances in its management, pain is still a common and persistent symptom in hospitals. Nurses have a central role in its management. Pain assessment is essential for optimal management; it is nonetheless made insufficiently and randomly.

DESIGN

The design was a monocentric correlational descriptive study.

METHODS

This study was based on the secondary analysis of routine data from 22,987 computerised health records of the medical and surgical wards between 1 November 2017 and 31 March 2019.

RESULTS

The results showed that the prevalence of pain was high in medical and surgical wards. Almost one-fifth of the participants suffered from severe pain at least once during their hospital stay. There was no association between the presence of pain and hospital ward, but the likelihood of having severe pain increased if the participant was hospitalised in a medical ward. Close personalised pain monitoring should be promoted to prevent the onset of severe pain. No Patient or Public Contribution.

摘要

目的

本研究旨在描述瑞士法语区一家大学医院中疼痛的患病率、评估情况及其相关特征。

背景

尽管在疼痛管理方面取得了许多进展,但疼痛仍是医院中常见且持续存在的症状。护士在疼痛管理中起着核心作用。疼痛评估对于优化管理至关重要;然而,目前评估做得不够充分且随意。

设计

本研究为单中心相关性描述性研究。

方法

本研究基于对2017年11月1日至2019年3月31日期间内科和外科病房22987份计算机化健康记录的常规数据进行二次分析。

结果

结果显示,内科和外科病房中疼痛的患病率很高。近五分之一的参与者在住院期间至少经历过一次重度疼痛。疼痛的存在与医院病房之间没有关联,但如果参与者在内科病房住院,出现重度疼痛的可能性会增加。应加强密切的个性化疼痛监测,以预防重度疼痛的发生。无患者或公众参与。

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Wien Med Wochenschr. 2024 Mar;174(3-4):69-78. doi: 10.1007/s10354-022-00984-5. Epub 2022 Nov 28.
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Quality Indicators (QI) of Acute Pain after Surgery in European Countries.欧洲国家术后急性疼痛质量指标。
Pain Manag Nurs. 2021 Dec;22(6):730-739. doi: 10.1016/j.pmn.2021.01.012. Epub 2021 Feb 25.

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