5所三级医院术后疼痛管理质量评价分析  

Evaluation and analysis for post-sm,gery pain management quality at five tertiary hospitals

作　　者：童莺歌[1] 刘敏君[2] 刘冬华[3] 王宏伟[2] 田素明[2] 

机构地区：[1]杭州师范大学护理学院,杭州310036 [2]浙江大学医学院附属邵逸夫医院麻醉科 [3]山东省聊城市人民医院麻醉科

出　　处：《中华医院管理杂志》2013年第1期24-28,共5页Chinese Journal of Hospital Administration

基　　金：浙江省卫生厅科研基金资助项目（2009B090）

摘　　要：目的了解我国三级医院的术后疼痛管理质量现状及美国疼痛学会推荐的急性疼痛管理质量评价体系在我国的适用情况。方法应用美国疼痛学会推荐的评价体系，通过问卷调查和查阅病历，对我国5所三级医院的术后疼痛管理质量现状进行分析。结果被调查医院在记录疼痛状况、应用工具记录疼痛强度、采取恰当的镇痛疗法、应用非药物镇痛措施和疼痛管理结果上存在不足之处；急性疼痛服务组和无急性疼痛服务组在疼痛管理质量上存在差异，两组活动、情绪和睡眠受疼痛影响程度分别为3．12±2．82和5．16±2．07（P〈0．05）。结论我国三级医院在术后疼痛管理过程和结果两方面均存在不足之处；已开展急性疼痛服务的医院在术后疼痛管理质量上优于未开展急性疼痛服务的医院。美国疼痛学会推荐的评价体系科学、灵敏，实用性和可操作性强，适用性广，适用于我国医院急性疼痛管理质量的评价。Objective To learn the present pain management quality at tertiary hospitals in China and the application of the quality evaluation system for acute pain management quality recommended by American Pain Society. Methods Analyzing the present pain management at five tertiary hospitals in China by using the evaluation system recommended by American Pain Society, questionnaires and medical records reading. Results The hospitals were found with setbacks in describing pains, recording pains with tools, using the right pain controls, using non-drug pain control measures and pain management outcomes; differences were found between the acute pain service group and non-acute pain service group in pain management quality, as the pain impacts of both groups on activities, emotion and sleep were 3. 12±2. 82 and 5.16±2. 07 （P〈0. 05） respectively. Conclusion Setbacks exist in both the process and outcomes of post-surgery pain management at these hospitals＇ those with acute pain service management are better than those without in terms of post-surgery pain management quality. The evaluation system recommended by American Pain Society is scientific, sensitive, practical and operable, extensively applicable to evaluation of acute pain management quality at hospitals in China.

关 键 词：疼痛管理 评价 质量指标 评价标准 

分 类 号：R402[医药卫生—临床医学]