急性疼痛服务组织对开胸术后病人疼痛控制的方法与效果  

Practice and effects of acute pain service on pain control of patients after thoracotomy

作　　者：王君慧[1] 严伟[1] 董翠萍[1] 汪晖[2] 

机构地区：[1]华中科技大学同济医学院附属同济医院胸外科,武汉市430030 [2]华中科技大学同济医学院附属同济医院护理部,武汉市430030

出　　处：《护理管理杂志》2012年第7期519-520,共2页Journal of Nursing Administration

基　　金：2008年湖北省自然科学基金项目(2008CDB227)

摘　　要：目的探讨术后急性疼痛服务组织对肺癌病人行开胸术后的病区镇痛管理模式的应用与效果。方法 2009年建立及运用急性疼痛服务组织,并实施包括培训医护人员、病人及家属的健康教育、预见性疼痛评估和急性疼痛护士及时镇痛反馈等方法进行疼痛护理,并与实施前肺癌开胸术病人镇痛满意度、肺部并发症、远期慢性疼痛发生率等进行比较。结果实施急性疼痛服务组织后,开胸术后病人镇痛满意度提高(P<0.01),肺部并发症、远期慢性疼痛发生率下降(P<0.01或P<0.05)。结论融合病区规范化镇痛管理模式的急性疼痛服务组织能提高病人镇痛满意度,有利于降低由于开胸手术导致的肺部并发症和急、慢性疼痛的发生率。Objective To explore the methods and effects of acute pain service（APS） applied to the ward analgesic management mode for patients with lung cancer after thoracotomy. Methods Acute pain service organization was established and standardized ward analgesia management mode, including staff training, health education of patients and relatives, predictable pain assessment, communication system with anesthesia analgesia center, was implemented. The an- algesic satisfaction of patients with lung cancer after thoracotomy,pulmonary complications and the incidence of long - term chronic pain were compared before and after the implementation. Results The analgesic satisfaction of patients after thoracotomy was improved （ P 〈 0.01 ）. The complications and the incidence of long - term chronic pain was reduced （ P 〈 0.01 or P 〈 0.05 ）. Conclusion APS organization applied to the standardized ward analgesic management mode can improve the satisfaction of patients and is beneficial to reduce pulmonary, complications and control the acute and chronic pain caused by thoracotomy.

关 键 词：急性疼痛服务 病区 规范化 镇痛 开胸术 

分 类 号：C931[经济管理—管理学]