急性疼痛服务在ICU术后镇痛管理中的应用  

Application of an acute pain service in postoperative pain management in intensive care unit

作　　者：梁丽萍[1] 陈皎[1] 袁啸晟 吴雪[1] 

机构地区：[1]上海交通大学医学院附属新华医院SICU,上海200092

出　　处：《护理学杂志》2013年第22期53-55,共3页

基　　金：上海交通大学医学院科技基金项目(Jyh 1120)

摘　　要：目的评价急性疼痛服务在ICU术后镇痛管理中应用的效果。方法在ICU成立以护士为基础、麻醉医生为指导的急性疼痛服务组织,对250例术后患者(管理组)实施规范化术后镇痛,包括术前访视,疼痛评估和处理等,与采用传统疼痛管理的250例患者(对照组)比较术后镇痛效果。结果与对照组比较,管理组术后48h内疼痛评分降低、镇痛不良反应减少、患者睡眠时间延长,患者对急性疼痛服务的满意度提高(P<0.05,P<0.01)。结论在ICU实施急性疼痛服务进行规范的术后镇痛,可以提高镇痛效果和患者满意度。Objective To evaluate the effect of an acute pain service （APS） on postoperative pain management in intensive care unit.Methods We established a nurse-led,anesthesiologist-supervised APS,and a standardized postoperative pain management program was implemented in 250 patients,including providing preoperative visits and performing pain assessment and management.Effects were compared with 250 patients who received traditional pain management.Results Compared with the controls,patients receiving pain management provided by the APS experienced less pain and fewer side-effects of analgesics,and had a longer sleep time （P＜ 0.05,P＜0.01） ; patients＇ satisfaction with the APS was also significantly improved （P＜0.01）.Conclusion Standard postoperative pain management provided by the APS,can improve quality of analgesia and patient satisfaction.

关 键 词：ICU 急性疼痛服务 术后镇痛 疼痛管理 

分 类 号：R473.6[医药卫生—护理学] C931.2[医药卫生—临床医学]