提昇頸椎術後病患肩頸疼痛處置滿意度

Shoulder and Neck Pain Management after Cervical Spine Surgery

黃莉媛(Li-Yuan Huang) ； 蔡芸芳(Yun-Fang Tsai) ； 簡秀娟(Hsiu-Chuan Chien) ； 莊夙鈴(Su-Ling Chuang) ； 張晉賢(Ching-Shen Chang) ； 昝文清(Wen-Ching Tzaan) ； 鍾蕙如(Hui-Ju Chung)

《中西醫結合護理雜誌》 1卷1期 (2010/08) Pp. 65-76

https://doi.org/10.6211/TTCMNA.NO1-2010-07

摘要

本專案主要目的爲提昇頸椎術後病患肩頸疼痛處置之滿意度，於2007年3月1日至20日選取北部某教學醫院神經外科門診，以頸椎術後肩頸疼痛病患及護理人員爲收案對象，發現(1)病患對肩頸疼痛處置滿意度低、現在疼痛強度達8.7分；(2)護理人員對非藥物疼痛處置認知不足(40%)；(3)護理人員對頸椎術後病患肩頸疼痛處置執行率低(40%)。經由【提昇頸椎術後病患肩頸疼痛處置滿意度方案】，包括製作肩頸疼痛穴位按摩衛教單張、制定穴位按摩技術操作流程及舉辦護理人員在職教育等措施進行改善後，病患對肩頸疼痛處置滿意度由61.5%提升至89%、護理處置後5分鐘疼痛感覺強度由8.7分降到5.3分，處置後30分鐘疼痛感覺強度降到4.2分，顯示病患對頸椎術後肩頸疼痛處置之滿意度著實提升，而本專案能提供相關病患疼痛處置之依據。

關鍵字

疼痛處置之滿意度 ； 肩頸疼痛 ； 頸椎術後

並列摘要

The objective of this study was to enhance shoulder and neck pain management after cervical spine surgery. The study was performed in the neurosurgery outpatient department of a Taiwan medical center from March 1-20, 2007. The purpose was to identify and educate patients who had received non-medicinal treatments. Serial surveys and follow up were conducted after three months. The study revealed that non-medicinal treatments improved pain relief and pain management. Satisfaction with management of shoulder and neck pain was low and the pain intensity was also up to 8.7 scores. The nursing staff knowledge insufficiently less than 40% to relief pain with non-medicinal management. The task rate of post-operative managements for shoulder and neck pain was also below 40%. During this period, the activities promoting non-medicinal relieve treatment were executed. Non-medicinal treatments are rarely used for pain relief. Medical staff were trained and educated to promote this management method. Patients were also educated to understand the acupressure-points in human body and were shown how to perform this treatment by themselves. After three months, the subjects had significantly improved pain symptoms. Positive feedback received in a patient survey confirmed the effectiveness of this pain management. Satisfaction with pain management improved substantially from 61.5% to 89%. Pain intensity scores fell from 8.7 to 5.3 after 5 minutes of acupressure treatment and from 5.3 to 4.2 score after 30 minutes. We believe that this is a breakthrough medical finding towards pain management of post operative neck and shoulder pain through non-medical treatment for patients in general.

並列關鍵字

Pain management satisfaction ； shoulder and neck pain ； cervical spine surgery