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急診肢體創傷疼痛的輔助療法

Complementary Therapy for Patients With Limb Trauma Pain in the Emergency Department

摘要


急性疼痛是急診病人就診的主要原因,肢體創傷疼痛佔58-66%的急診創傷病人,解決病人疼痛成為急診醫療照護的重要議題之一;本文藉由非藥物的輔助介入措施,包括創傷肢體照護、治療性觸摸的身體操作療法,與加強支持系統、營造療癒環境的身心介入法,以提供急診護理人員對肢體創傷疼痛病人多元化的急診照護,強化止痛療效,以提升病人的舒適及照護,及減少回診率。

並列摘要


Acute pain is the main cause for patient visits to the emergency department. An important issue faced in emergency medical care is to resolve patient pain. Moreover, limb traumatic pain is noted in 58-66% of emergency trauma patients. This paper explored the effectiveness of using non-pharmacological complementary interventions, including body operation therapies that used trauma limb care and therapeutic touch and mind-body interventions, in order to strengthen the support system and create a healing environment. The experience described herein is hoped to facilitate the provision of multifaceted emergency care for patients with limb trauma pain in the emergency department in order to improve the comfort and return rate of patients.

並列關鍵字

acute pain limb trauma complementary therapy

參考文獻


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Chang, H. L., & Chang, H. Y. (2010). The utilization of complementary and alternative medicine (CAM) combined with conventional medicine among outpatients: A cross-sectional study. Medical Journal of South Taiwan, 6(2), 65–75. https://doi.org/10.6726/mjst.201012_6(2).0001
林育靖、葉月嬌、賴允亮、辜美安(2011).安寧病房醫護人員對病患使用輔助療法的態度.安寧療護雜誌,16(1),27–41。[Lin, Y. C., Yeh, Y. J., Lai, Y. L., & Koo, M. (2011). Attitudes of physicians and nurses towards complementary medicine use among patients in hospice wards. Taiwan Journal of Hospice Palliative Care, 16(1), 27–41.] https://doi.org/10.6537/TJHPC.2011.16(1).3
許添貴、辜美安、葉月嬌(2014).影響台灣急診科醫師使用輔助療法之相關因子.台灣醫學,18(2),153–162。[Hsu, T. K., Koo, M., & Yeh, Y. J. (2014). Factors associated with the use of complementary medicine in emergency department physicians in Taiwan. Formosan Journal of Medicine, 18(2), 153–162.] https://doi.org/10.6320/FJM.2014.18(2).03
Albrecht, E., Taffe, P., Yersin, B., Schoettker, P., Decosterd, I., & Hugli, O. (2013). Undertreatment of acute pain (oligoanalgesia) and medical practice variation in prehospital analgesia of adult trauma patients: A 10 yr retrospective study. BJA: British Journal of Anaesthesia, 110(1), 96–106. https://doi.org/10.1093/bja/aes355

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