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題名:降低骨科病人手術後疼痛程度
書刊名:長庚護理
作者:郭貞嬋李霈宸邱存梅賀倫惠
作者(外文):Kuo, Chen-chanLi, Pei-chenChiu, Tsun-meiHo, Lun-hui
出版日期:2019
卷期:30:3=107
頁次:頁346-360
主題關鍵詞:骨科病人疼痛手術後Orthopedic patientPainAfter surgery
原始連結:連回原系統網址new window
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疼痛為骨科病人手術後常見健康問題之一,如疼痛未被妥善處理,恐影響其復健意願,引發專案小組成立動機。於2015年4月15日至4月30日調查30名病人手術後當日疼痛程度數字量表平均為8.13分,調查分析主因為護理師執行疼痛評估完整率及疼痛評估與處置認知率低、骨科病人術後疼痛處置認知率低;解決辦法以製作「彩色疼痛評估隨身捲尺」與「疼痛評估提示卡」,以提醒護理師交班重點、討論及宣導疼痛口訣「PAIN」,並藉專科在職教育訓練,提昇人員疼痛評估與處置完整性;專案結果為骨科病人手術當日疼痛程度數字量表由平均8.13分降至3.80分,護理師執行疼痛評估正確率大幅提升至97.1%,故應正確執行疼痛評估與積極處置,以提高專科照護品質。
Pain is one of the most common health related issues for patients after orthopedic surgery. If the pain can not be managed properly, the patient may not be willing to participate in the rehabilitation program. Therefore, we were motivated to establish this project to improve this situation. From April, 15 to April, 30 2015, we evaluated the postoperative pain scores of 30 patients at the day of surgery. The average pain score was 8.13 points out of 10. This unsatisfactory result came from incompletion of pain assessment by nurses, poor knowledge about pain assessment, and inadequate pain management of nurses and patients. The solutions were conducted during in-service education which included creating a "colored tape measure" for pain assessment, promoting the use of "flash cards" to remind pain assessment for each shift, and establishing discussion and promotion of "PAIN" phrase to shift. As a result, pain scores of patients decreased to 3.80 and the proper rate of pain assessment and management increased up to 97.1%. Our study suggests that accurate and precise execution of pain management would improve the quality of postoperative nursing care.
期刊論文
1.明金蓮、洪曉佩(20110500)。急性疼痛評估與症狀護理。源遠護理,5(1),11-16。  延伸查詢new window
2.許麗芳、劉又禕、向肇英、林碧珠(20100600)。照顧一位接受膝關節置換術病人之護理經驗。志為護理,9(3),120-128。  延伸查詢new window
3.American Pain Society Quality of Care Committee(1995)。Quality improvement guidelines for the treatment of acute pain and cancer pain。Journal of the American Medical Association,274(23),1874-1880。  new window
4.Acello, B.(2000)。Meeting JCAHO standards for pain control。Nursing,30(3),52-54。  new window
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6.Gerbershagen, H. J.、Aduckathil, S.、Van Wijck, A. J.、Peelen, L. M.、Kalkman, C. J.、Meissner, W.(2013)。Pain Intensity on the First Day after Surgery A Prospective Cohort Study Comparing 179 Surgical Procedures。Anesthesiology: The Journal of the American Society of Anesthesiologists,118(4),934-944。  new window
7.于博芮、王惠美、胡曉珍、陳德芳、黃薇瑄、廖婉君、趙慧玲(2013)。一般外科病患術後換藥疼痛改善專案。領導護理,15(3),96-107。  延伸查詢new window
8.鄧慶華、鄭雅中、陳素根、李宜靜、張勝立、陳穎從、黃瑞芬、洪春來、蔡宏隆、柴怡茜(20140600)。智慧化健康照護創新系統之應用和綜合效能。醫務管理期刊,15(2),128-149。new window  延伸查詢new window
9.Bedard, D.、Purden, M. A.、Larose, N. S.、Certosini, C.、Schein, C.(2006)。The pain experience of post surgical patients following the implementation of an evidence-based approach。Pain Management Nursing,7(3),80-92。  new window
10.Krenzischek, D. A.、Dunwoody, C. J.、Polomano, R. C.、Rathmell, J. P.(2008)。Pharmacotherapy for acute pain: implications for practice。J Perianesth Nurs,23(1),28-42。  new window
11.朱正一、曾稼志(20110900)。骨科手術病人之健康知能、知覺同理心、術前資訊理解程度與術前焦慮之探討。醫務管理期刊,12(3),177-190。new window  延伸查詢new window
12.曾瓊瑩、游淑貞、吳佩蓉(20110300)。燒傷病人疼痛護理改善專案。長庚護理,22(1)=73,62-72。new window  延伸查詢new window
學位論文
1.黃意真(2006)。探討疼痛測量的在職教育與制度化對改善護理人員癌症疼痛測量之成效(碩士論文)。國立中山大學。  延伸查詢new window
單篇論文
1.Joint Commission on Accreditation of Healthcare Organizations(2015)。Pain: Current understanding of assessment, management, and treatments,http://www.reliefinsite.com/downloads/Pain_Current_Understanding_of_Assessmenet_Management_and_Treatment_JCAHO.pdf。  new window
其他
1.National Center for Health Statistics(2015)。Inpatient procedures. Fast stats A to Z,http://www.cdc.gov/nchs/data/ad/ad385.pdf。  new window
 
 
 
 
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