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新生儿重症监护病房术后患者采用标准化疼痛管理策略后的结局指标

Outcome measures after standardized pain management strategies in postoperative patients in the neonatal intensive care unit.

作者信息

Furdon S A, Eastman M, Benjamin K, Horgan M J

机构信息

Department of Nursing, Albany Medical Center, New York, USA.

出版信息

J Perinat Neonatal Nurs. 1998 Jun;12(1):58-69.

PMID:9782878
Abstract

Written guidelines based on current research on infant pain assessment and management were developed by an interdisciplinary team in a neonatal intensive care unit of a regional medical center. Charts for infants who had undergone abdominal surgery were reviewed to compare patient outcomes before and after use of this pain management protocol. With the standardization of pain management strategies, the following improvements were noted: decreased length of time to extubation, decreased length of stay, better fluid management, and reduced side effects of narcotics. Additional benefits included improved pain management documentation, decreased cost, and decreased nursing time.

摘要

一个地区医疗中心的新生儿重症监护病房的跨学科团队制定了基于当前婴儿疼痛评估和管理研究的书面指南。对接受腹部手术的婴儿的病历进行了审查,以比较使用该疼痛管理方案前后的患者结果。随着疼痛管理策略的标准化,出现了以下改善情况:拔管时间缩短、住院时间缩短、液体管理更好以及麻醉药品的副作用减少。其他益处包括疼痛管理记录改善、成本降低和护理时间减少。

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