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題名:開腹手術病人止痛劑(Demerol)要求時疼痛程度及相關因素之探討
書刊名:長庚護理
作者:翁麗雀鄭綺 引用關係
作者(外文):Weng, L. C.Jeng, Chii
出版日期:1996
卷期:7:1=13
頁次:頁45-55
主題關鍵詞:腹部手術疼痛程度止痛劑要求Abdominal surgeryDegree of painAnalgesic (demerol) requirement
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(0) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:7
  • 點閱點閱:11
     本研究在探討開腹手術病人手術後24小時內止痛劑(Demerol)要求(注射劑量、次數及間隔時間)、疼痛程度(疼痛強度、疼痛感覺 、情感表現)及影響因素。以立意取樣法選取60位接受開腹手術後病人,其中50位在手術後24小時內要求注射止痛劑,另外10位未曾要求。以 修正後之MPQ-SF疼痛評估表評值手術後24小時內要求止痛劑之疼痛程度。研究結果顯示病人在手術後24小時內要求Demerol注射之平均劑量為 158.4mg,平均次數為3.2次,平均注射間隔時間為427.4分。平均疼痛強度76.8、疼痛感覺7.1、疼痛情感表現7.7。而疼痛強度及疼痛感覺是病人 手術後24小時內是否要求Demerol注射最有效的預測變項,正確預估率為90%。而疼痛情感表現是手術後第二天是否再要求注射Demerol之預測 變項,正確預估率為68%。
期刊論文
1.Puntillo, K.、Weiss, S. J.(1994)。Pain: Its mediators and associated morbidity in critically ill cardiovascular surgical patients。Nursing Research,43(1),31-35。  new window
2.Melzack, R.(1987)。The Short-form McGill Pain Questionnaire。Pain,30(2),191-197。  new window
3.Austin, K. L.、Stapleton, J. V.、Mather, L. E.(1980)。Multiple intramuscular injections: a major source of variability in analgesic response to meperidine。Pain,8(1),47-62。  new window
4.Cohen, F. L.(1980)。Postsurgical pain relief: patients' status and nurses' medication choices。Pain,9(2),265-274。  new window
5.Dauber, A.、Ure, B. M.、Nrugebauer, E.、Scimitz, S.、Troidl, H.(1993)。The incidence of postoperative pain on general surgical wards. Results of different evaluation procedures。Anesthesist,42(7),488-454。  new window
6.Eich, E.、Reeves, J. L.、Jaegar, B.(1985)。Memory for pain: relation between past and present pain intensity。Pain,23(4),375-380。  new window
7.Faherty, B.、Grier, M. R.(1984)。Analgesic medication for elderly people Postoperative。Nursing Research,33(6),369-373。  new window
8.Famewo, C. E.(1985)。Study of incidence of postoperative pain among Nigerian Patients。African Journal of Medicine and Medical Science,14(3),175-179。  new window
9.Giuffre, M.、Asci, J.、Arnstein, P.、Wilkinson, C.(1991)。Postoperative joint replacement paint Description and opioid requirement。Journal of Post Anestheia Nursing,6(4),239-245。  new window
10.Gropper, E. I.(1992)。Promoting health by promoting comfort。Nursing Forum,27(2),5-8。  new window
11.Heidrich, G.、Perry, S.(1982)。Helping the paitent in pain。American Journal of Nursing,82(12),1828-1883。  new window
12.Hofland, S. L.(1991)。Elder beliefs: blocks to pain management。Journal of Gerontological Nursing,18(6),19-23。  new window
13.Mahon, S. M.(1994)。Concept analysis of pain: implications related to nursing diagnoses。Nursing Diagnosis,5(1),14-25。  new window
14.Merskey, H.(1986)。International association for the study of pain subcommittee on taxonomy pain terms, a current list with definitions and notes on usage。Pain,3,225。  new window
15.Melzack, R.、Abbott, F. V.、Zackon, W.(1987)。Pain on a surgical ward: a survey of the duration and intensity of pain and the effectiveness of medication。Pain,29(1),67-72。  new window
16.Perry, F.、Parker, R. K.、White, P. F.、Clifford, P. A.(1994)。Role of the psychological factors in postoperative pain control and recovery with patient controlled analgesia。The Clinical Journal of Pain,10(1),57-63。  new window
17.Porter, J.、Jick, H.(1980)。Addiction rare in patients treated with narcotics。New England Journal of Medicine,302(2),123。  new window
18.Sriwatnakul, K.(1993)。Analysis of narcotic analgesic usage in the treatment of postoperative pain。Journal of American Medical Association,250(7),926-929。  new window
19.Ure, B. M.、Troidl, H.、Spanenberger, W.、Dietrich, A.、Lefering, R.、Neuge-bauer, E.(1994)。Pain after laparoscopic cholecystectomy。Surgical Endoscopy,8(2),90-96。  new window
20.Walding, M. F.(1991)。Pain, anxiety and powerlessness。Journal of Advanced Nursing,16(4),388-397。  new window
21.Walmsley, P. N.、Brockopp, D. Y.、Brockopp. G. W.(1992)。The role of prior pain experience and expectations on postoperative pain。Journal of Pain and Symptom Management,7(1),34-37。  new window
22.Weir, R.、Roberts, J.、Browne, G. B.、Crook, J.、Barnes, W.(1990)。Predictors of narcotic analgesic administration in the first 48 post-operative hours。The Canadian Journal of Nursing Research,22(4),61-73。  new window
23.Yeager, M. P.、Glass, D. D.、Neff, R. K.(1987)。Epidural anesthesia and analgesia in high-risk surgical patients。Anesthesiology,66(6),729-736。  new window
24.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
圖書
1.Sofaer, B.(1992)。Pain: A Hand Book For Nurse。New York:Chapman and Hall。  new window
2.Trieger, N.(1994)。Pain Control。St. Leuis:Mosby Co.。  new window
圖書論文
1.Sweeney, S. S.(1977)。Pain associated with surgery。Pain: ASourse Book For Nurse And Other Professional。Boston:Litte Brown Co.。  new window
 
 
 
 
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