降低心臟外科病房傳統開心手術病人中度疼痛以上發生率

鄭伊婷; 吳佩璇; 劉秀華

doi:10.6142/VGHN.202009_37(3).0009

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P298 - 305

Health & Medical Care > Health Promotion & Hygiene
Health & Medical Care > Social Medicine

DOI： 10.6142/VGHN

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降低心臟外科病房傳統開心手術病人中度疼痛以上發生率

Strategies to Reduce the Incidence of Moderate or Severe Pain in Patients Undergoing Traditional Open Heart Surgery on Cardiac Surgery Wards

鄭伊婷(I-Ting Cheng) ；吳佩璇(Pei-Hsuan Wu) ；劉秀華(Hsiu-Hua Liu)

榮總護理； 37卷3期 (2020 / 09 / 01) ， P298 - 305

繁體中文 DOI： 10.6142/VGHN.202009_37(3).0009

傳統開心手術；疼痛； traditional open heart surgery ； pain

Abstract │ Reference (7)

Abstract 〈TOP〉

Parallel Abstract 〈TOP〉

Postoperative pain is a common symptom and considered a key indicator of clinical care quality. According to statistics, the incidence of moderate pain (numeric rating scale [NRS] ≥ 4) after traditional open heart surgery was 62.2% in 2016, motivating us to reduce the postoperative pain of patients. Through analysis of the current situation, postoperative patients were discovered to be unfamiliar with the correct application of medical corset belts, have coughing, have an incorrect posture when getting out of bed, have inadequate care, have low participation in pain-related exercises, be unaware of analgesic guidelines, miss analgesic doses, and have insufficient analgesic doses. The proposed improvement program involved the following activities: (1) designing of an antiskid medical corset belt and preparing instructions and videos on how to use it, (2) preparing posters to demonstrate how to correctly get out of bed and set up a drug information column, (3) preparing new nursing education videos, (4) holding educational exercise training, (5) establishing a clinical pathway for postoperative analgesic medication guidelines, and (6) adjusting pain reliving regimes. The program reduced the incidence of postoperative pain (NRS ≥ 4) to 28.4%, and thus, our goal was achieved.

Reference ( 7 ) 〈TOP〉

呂欣衿、邱存梅、王斐雯（2016）．運用跨理論模式提升護理人員對重症病人疼痛評估處置完整性．長庚護理，27（3），353-367。
連結：
吳春滿、賴甫誌、趙從賢、童恒新、苗迺芳（2016）．急診醫護人員疼痛處理知識與影響因素之探討．護理雜誌，63（1），99-109。
連結：
郭瑞萍、翁靜美、陳金玫（2015）．護理人員在術後疼痛照護中的挑戰．領導護理，16（4），11-20。
連結：
Caimmi, P. P., Sabbatini, M., Kapetanakis, E. I., Cantone, S., Ferraz, M. V., Cannas, M., & Tesler, U. F. (2017). A randomized trial to assess the contribution of a novel thorax support vest (corset) in preventing mechanical complications of median sternotomy. Cardiology and Therapy, 6(1), 41-51.
連結：
Hamid, M., Gangwani, A., & Akhtar, M. (2015). A quality improvement survey to assess pain management in cardiac surgery patients. Open Journal of Anesthesiology, 5(5), 105-112.
連結：

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