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題名：脊椎手術後疼痛控制--必要時每四小時靜脈滴注Demerol之效果探討
書刊名：護理雜誌
作者：林碧珠／林瓊珠／姚吟蓮
作者(外文)：Lin, Pi-chu／Lin, Chiong-chu／Yao, Elian
出版日期：2001
卷期：48:2
頁次：頁49-58
主題關鍵詞：脊椎手術；手術後疼痛；疼痛控制；疼痛藥物；Spinal surgery；Postoperative pain；Pain control；Pethidine
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(9) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:9
  • 共同引用共同引用:23
  • 點閱點閱:76
　　　　　本研究目的是探討臨床上常見手術後疼痛藥物(pethidine iv drip q4h prn)，對脊椎手術病患疼痛控制之效果及其影響因素。採描述性調查研究，研究 對象為台北市某醫學中心接受脊椎手術之住院病患，採立意取樣法，總計收案47 人。研究工具包括：VAS(Visual Analogue Scale)疼痛程度量尺、病患手術前止痛 劑使用態度調查表、手術後疼痛調查表和手術後止痛劑使用記錄表。研究結果顯 示：病患手術前對止痛劑使用之態度：64.4%病患預期手術後會有中度到嚴重程 度的疼痛，88.2%病患希望止痛劑能解除大部分的疼痛，84.4%患者在疼痛加劇時 最可能要求止痛劑，而85.2%病患希望在要求止痛劑時，能立即得到。手術後疼 痛程度：手術後第一天63.8%覺得傷口中度以上疼痛，其中29.8%有嚴重疼痛，VAS 所測得的平均疼痛得分為5.47分；手術後第二天59.6%中度以上疼痛，VAS得分4.74 分；手術後第三天47.4%中度疼痛，VAS得分3.79分。女性病患VAS得分顯著高於 男性。研究結果可作為臨床醫護人員手術後疼痛處理之參考。
　　　　　The purpose of this study was to explore the effectiveness of clinical pain medicine (pethidine q4h prn) for patients with spinal surgery and its related factors. A descriptive study design was used. We used a preoperative patients' attitudes to pain questionnaire, a postoperative pain questionnaire and a Visual Analogue Scale (VAS) to collect data from patients undergoing spinal surgery. Forty-seven subjects were chosen from a medical center in the metropolitan Taipei by convenience sampling. Descriptive analysis and one-way ANOVA were used for statistical analysis. The results were as follows: 坽 The patient's attitudes to pain preoperatively: 64.4% expected moderate to severe pain. 88.2% wanted the medicine to give them a lot of relief. 84.4% would ask for medicine when pain became severe. 85.2% expected pain medication to be given immediately if they asked for it. 夌 The patients' pain levels postoperatively: During the first 24 hours, 63.8% had more than moderate pain, and 29.8% had severe pain. VAS score was 5.47. During the second day, 59.6% had more than moderate pain. VAS score was 4.74. During the third day, 47.4% had moderate pain. VAS score was 3.79. 奅 Female patients had more pain than male patients. The results could be used by clinical nurses in post-operative pain management.
期刊論文
1.戴元基(19940300)。手術後的疼痛控制。國防醫學，18(3)，183-186。  延伸查詢new window
2.陳淑如、林佳靜、鄭綺、何善臺(19981200)。探討手術後病人對疼痛護理及疼痛控制的滿意度及其影響因素。護理研究，6(6)，475-488。new window  延伸查詢new window
3.Wilder-Smith, C. H.、Schuler, L.(1992)。Postoperative analgesia: Pain by choice? the influence of patient attitudes and patient education。Pain，50(3)，257-262。  new window
4.Winefield, H. R.、Katsikitis, M.、Hart, L. M.、Rounsefell, B. F.(1990)。Postoperative pain experiences: Relevant patient and staff attitudes。Journal of Psychosomatic Research，34(5)，543-552。  new window
5.張超(19850100)。手術後疼痛及治療。當代醫學，12(1)=135，44-47。  延伸查詢new window
6.王忠訓、周毅鵬、侯清正、李繼源、林炳煌、顏復華(19910600)。胸腔切開手術後病人自行控制與傳統止痛方式之比較。麻醉學雜誌，29(2)，604-609。  延伸查詢new window
7.楊淑芬(19910600)。患者自控止痛術與傳統肌肉注射止痛對手術後止痛之比較。麻醉學雜誌，29(2)，610-615。  延伸查詢new window
8.黃愛娟、曾昭琳(19820700)。病人疼痛的處理。護理雜誌，29(3)，53-64。new window  延伸查詢new window
9.賀姝霞、尹祚芊(19880400)。探討護理人員減輕手術後病人疼痛之處理及其影響因素。護理雜誌，35(2)，35-46。new window  延伸查詢new window
10.湯元皓、馮煥光、劉文健(19951100)。疼痛之心身醫學觀。臨床醫學，36(5)=215，331-336。new window  延伸查詢new window
11.Closs, S. J.(1992)。Patients' night-time pain analgesia provision and sleep after surgery。International Journal of Nursing，29(4)，381-292。  new window
12.Clarke, E. B.、French, B.、Bilodean, M. L.、Capasso, V. C.、Edwards, A.、Empoliti, J.(1996)。Pain management knowledge, attitudes and clinical practice: The impact of nurses' characteristics and education。Journal of Pain and Symptom Management，11(1)，18-31。  new window
13.Aun, C.、Lam, Y. M.、Collett, B.(1986)。Evaluation of the use of visual analogue scale in Chinese patients。Pain，25(2)，215-221。  new window
14.Interrational Association for the Study of Pain(1986)。International association for the study of pain-Pain terms: A current list with definitions and notes on usage。Pain，25(3)，S217。  new window
15.Hinnant, C. D.(1996)。Minimizing meperidine use。American Journal of Nursing，96(8)，18。  new window
16.Moddeman, G. R.(1995)。Barriers to pain management in elderly surgical patients。AORN Journal，61(6)，1073-1075。  new window
17.Flaherty, S. A.(1996)。Pain measurement tools for clinical practice and research。Journal of the American of Nurse Anesthetists，64(2)，133-140。  new window
18.Dietrick-Gallagher, M.、Polomano, R.、Carrick, L.(1994)。Pain as a quality management initiative。Journal of Nursing Care Quality，9(1)，30-42。  new window
19.Jurf, J. B.、Nirschl, A. L.(1993)。Acute postoperative pain management: A comprehensive review and update。Critical Care of Nursing Quarterly，16(1)，8-25。  new window
20.Ketovuori, H.(1987)。Nurses' and patients' conceptions of wound pain and administration of analgesics。Journal of Pain and Symptom Management，2(4)，213-218。  new window
21.Meehan, D. A.、McRae, M. E.、Rourke, D. A.、Eisenring, C.、Imperial, F. A.(1995)。Analgesic administration, pain intensity, and patient satisfaction in cardiac surgical patients。American Journal of Critical Care，4(6)，435-442。  new window
22.Owen, H.、Mather, L. E.、Rowley, K.(1988)。The development and clinical use of patient-controlled analgesia。Anaesthesia and Intensive Care，16(4)，437-447。  new window
23.Owen, H.、McMillan, V. M.、Rogowski, D.(1990)。Postoperative pain therapy: A survey of patients' expectations and their experiences。Pain，41(3)，303-307。  new window
24.Streltzer, J.、Wade, T. C.(1981)。The influence of culture on the undertreatment of postoperative pain。Psychosomatic Medicine，43(5)，397-403。  new window
25.Price, D. D.、Mcgrath, P. A.、Rafii, A.、Buckingham, B.(1983)。The validation of visual analogue scales as ratio scale measures for chronic and experimental pain。Pain，17(1)，45-56。  new window
26.Paice, J. A.、Mahon, S. M.、Faut-Callahan, M.(1991)。Factors associate with adequate pain control in hospitalized postsurgical patients diagnosed with cancer。Cancer Nursing，14(6)，298-305。  new window
27.Willson, H.(2000)。Factors affecting the administration of analgesia to patients following repair of a fractured hip。Journal of Advanced Nursing，31(5)，1145-1154。  new window
28.曹麗英(19830700)。手術後24小時內病人接受護士給予酌情需要(p. r. n.)注射止痛劑Demerol 情況之探討。護理雜誌，30(3)，81-92。new window  延伸查詢new window
學位論文
1.邱淑芬(1993)。探討有系統的術前護理指導對開胸手術病患手術後疼痛及身體功能恢復的影響(碩士論文)。國立臺灣大學。  延伸查詢new window
圖書
1.陳長安、蘇清正(1991)。臨床藥學與治療學。台北：合記。  延伸查詢new window
2.Agency for Health Care Policy and Research(1992)。Acute pain management: Operative or medical procedures and trauma, clinical practice guideline。Rockville, MD：Agency for Health Care Policy and Research。  new window
3.Wilkes, G. M.、Ingwersen, K.、Burke, M. B.(1994)。Oncology nursing drug reference。Boston：Jones and Bartlett。  new window
 
 
 
 
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