以护士为基础、麻醉医师为督导的疼痛管理模式用于妇科术后镇痛  

Nurse-based, Anesthesiologist-supervised pain management model in gynecologic surgical procedures

作　　者：陈新忠[1] 徐鑫芬[2] 

机构地区：[1]浙江大学医学院附属妇产科医院麻醉科,杭州市310006 [2]浙江大学医学院附属妇产科医院护理部,杭州市310006

出　　处：《中华护理杂志》2005年第2期87-89,共3页Chinese Journal of Nursing

基　　金：浙江省卫生厅科研基金资助项目;2004B132

摘　　要：目的评价以护士为基础、以麻醉医师为督导的疼痛管理模式(NBASAPS)在临床术后疼痛管理中应用的成效。方法对实施该疼痛管理模式前后的788例术后病人进行开放性、前瞻性、非随机的观察性研究,分为两组,即实施APS前组(388例)和实施APS后组(400例)。观察镇痛效果。结果与实施APS前组比较,实施APS后组的术后镇痛效果指标(VAS值)显著降低(P<0.01);术后24h和48h的睡眠时间显著增加(P<0.01);住院时间显著缩短(P<0.01);病人总体满意度显著提高(P<0.01)。结论实施以护士为基础、以麻醉医师为督导的术后疼痛管理模式能显著提高术后镇痛效果。Objective To evaluate the effectiveness of the nurse-based, anesthesiologist-supervised pain management model used in postoperative pain management.Methods 388 patients in the Pre-APS inception phase and 400 patients in the Post-APS inception phase were enrolled in an open, prospective, nonrandom,observational study.Results Compared with the Pre-APS Group,Post-APS's mean VAS was significant lower (P<0.01);Sleeping time within 24h after the operation was longer and the same within 48h(P<0.01); Hospitalization time was shorter than Pre-APS Group (P<0.01); patients satisfaction rate was higher in the Post-APS Group.Conclusion Nurse-based, anesthesiologist-supervised pain management model is a significant improvement in postoperative analgesia.

关 键 词：护士 麻醉医师 疼痛管理模式 妇科术后 镇痛 

分 类 号：R473.71[医药卫生—护理学]