中国医药
中國醫藥
중국의약
China Medicine
2015年
9期
1340-1343
,共4页
李莉霞%卜书红%张金莲%陈伦%陆晓彤
李莉霞%蔔書紅%張金蓮%陳倫%陸曉彤
리리하%복서홍%장금련%진륜%륙효동
疼痛教育%骨科%围术期%疼痛评分%临床药师
疼痛教育%骨科%圍術期%疼痛評分%臨床藥師
동통교육%골과%위술기%동통평분%림상약사
Paineducation%Orthopaedic%Perioperation%Pain scale%Clinical pharmacists
目的 通过对骨科围术期患者进行疼痛教育,探索临床药师在疼痛管理中的作用.方法 将上海交通大学附属新华医院2013年1-9月住院患者设为非疼痛教育组(126例),2013年10月至2014年6月住院患者设为疼痛教育组(127例),2组患者均采用疼痛数字评价量表(NRS)对术后48 h疼痛进行评分,疼痛教育组给予疼痛教育,首次评分后72 h再评分,比较疼痛程度及认知行为的变化;记录与评估围术期镇痛药物治疗过程;患者填写疼痛教育满意度调查表.结果 2组患者使用非甾体消炎药物者占多数,药物使用比率比较,差异无统计学意义(P＞0.05);2组患者不同手术部位术后72 h后再次进行疼痛评分,疼痛教育组患者NRS评分分值较非疼痛教育组明显降低,差异有统计学意义[四肢骨折手术:4(3,4)分比4(4,4)分,髋、膝关节手术:4(3,4)分比4(4,5)分,脊椎手术:4(3,4)分比4(4,4)分,其他部位骨折手术:3(3,3)分比4(3,4)分,P＜0.05].疼痛教育组教育前后患者认知行为比较差异有统计学意义(P＜0.05);疼痛教育组91.3％(116/127)患者对疼痛教育满意,对个体化疼痛教育方式接受度为92.9％(118/127).结论 临床药师通过对术后患者开展疼痛教育,在控制疼痛和疼痛管理中能够发挥积极的作用.
目的 通過對骨科圍術期患者進行疼痛教育,探索臨床藥師在疼痛管理中的作用.方法 將上海交通大學附屬新華醫院2013年1-9月住院患者設為非疼痛教育組(126例),2013年10月至2014年6月住院患者設為疼痛教育組(127例),2組患者均採用疼痛數字評價量錶(NRS)對術後48 h疼痛進行評分,疼痛教育組給予疼痛教育,首次評分後72 h再評分,比較疼痛程度及認知行為的變化;記錄與評估圍術期鎮痛藥物治療過程;患者填寫疼痛教育滿意度調查錶.結果 2組患者使用非甾體消炎藥物者佔多數,藥物使用比率比較,差異無統計學意義(P＞0.05);2組患者不同手術部位術後72 h後再次進行疼痛評分,疼痛教育組患者NRS評分分值較非疼痛教育組明顯降低,差異有統計學意義[四肢骨摺手術:4(3,4)分比4(4,4)分,髖、膝關節手術:4(3,4)分比4(4,5)分,脊椎手術:4(3,4)分比4(4,4)分,其他部位骨摺手術:3(3,3)分比4(3,4)分,P＜0.05].疼痛教育組教育前後患者認知行為比較差異有統計學意義(P＜0.05);疼痛教育組91.3％(116/127)患者對疼痛教育滿意,對箇體化疼痛教育方式接受度為92.9％(118/127).結論 臨床藥師通過對術後患者開展疼痛教育,在控製疼痛和疼痛管理中能夠髮揮積極的作用.
목적 통과대골과위술기환자진행동통교육,탐색림상약사재동통관리중적작용.방법 장상해교통대학부속신화의원2013년1-9월주원환자설위비동통교육조(126례),2013년10월지2014년6월주원환자설위동통교육조(127례),2조환자균채용동통수자평개량표(NRS)대술후48 h동통진행평분,동통교육조급여동통교육,수차평분후72 h재평분,비교동통정도급인지행위적변화;기록여평고위술기진통약물치료과정;환자전사동통교육만의도조사표.결과 2조환자사용비치체소염약물자점다수,약물사용비솔비교,차이무통계학의의(P＞0.05);2조환자불동수술부위술후72 h후재차진행동통평분,동통교육조환자NRS평분분치교비동통교육조명현강저,차이유통계학의의[사지골절수술:4(3,4)분비4(4,4)분,관、슬관절수술:4(3,4)분비4(4,5)분,척추수술:4(3,4)분비4(4,4)분,기타부위골절수술:3(3,3)분비4(3,4)분,P＜0.05].동통교육조교육전후환자인지행위비교차이유통계학의의(P＜0.05);동통교육조91.3％(116/127)환자대동통교육만의,대개체화동통교육방식접수도위92.9％(118/127).결론 림상약사통과대술후환자개전동통교육,재공제동통화동통관리중능구발휘적겁적작용.
Objective To explore the role of clinical pharmacists on pain management by giving pain education in patients during perioperative period of othopaedic surgery.Methods Totally 126 inpatients from January to September 2013 were set as non pain-education group; 127 inpatients from October 2013 to June 2014 were set as pain-education group.The numberial rating scale (NRS) was used to assess the pain degrees 48 h after operation ; the pain education was carried out in pain-education group and the pain degree was assessed 72 h later.The pain degree and cognitive behavior were evaluated ; the therapeutic process of the analgesics was recorded and the satisfaction of pain education was filled out by patients.Results The utilization rates of non-steroidal anti-inflammatory drug in two groups were both high without significant differences (P ＞ 0.05).The NRS score after pain education were all significantly lower in different operative sites in pain-education group compared with those in non pain-education group[limb fracture operation:4(3,4) scores vs 4(4,4) scores,hip and knee joint operation:4 (3,4) scores vs 4 (4,5) scores,spinal operation:4 (3,4) scores vs 4 (4,4) scores,other fracture operation:3(3,3) scores vs 4 (3,4) scores] (P ＜ 0.05).The pain-education included emphasizing the importance of compliance and instructing patients to take medicine properly.The cognitive behavior was significantly improved after pain education (P ＜ 0.05).Totally 91.3％ (116/127) patients were satisfied with paineducation and the acceptability was 92.9％ (118/127) in pain-education group.Conclusion Clinical pharmacists play a positive role in pain management by carrying out pain-education in postoperative patients.
