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Postoperative pain control: Necessity or nicety? An interdisciplinary team approach to pain control for patients undergoing total joint replacement surgery.

机译:术后疼痛控制:必要还是美好?针对全关节置换手术患者的疼痛控制的跨学科团队方法。

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摘要

This study compared clinical outcomes and hospital costs for total knee and total hip arthroplasty patients cared for using a pain protocol team approach care pathway to those cared for using a traditional approach. Record review was completed for 45 cases from the pain protocol group and 45 from the non-pain protocol group.; Reported levels of pain were found to be lower for the pain protocol group in the postanesthesia care unit, on the operative day, and on postoperative days one and two. Patients in the pain protocol group were more likely to receive a regional combination anesthetic. There were few statistically significant differences in terms of side effects and complications from anesthesia and surgery for the two groups. The average length of stay was found to be shorter for pain protocol patients, with fewer patients discharged to a subacute rehabilitation unit. Total hospital costs were lower for the pain protocol group. Study findings support the value of a care protocol and acute pain management service for total joint arthroplasty patients.
机译:这项研究比较了使用疼痛协议小组方法护理路径的全膝和全髋关节置换患者的临床结局和住院费用,以及使用传统方法护理的那些患者。对疼痛方案组的45例病例和非疼痛方案组的45例病例进行了记录审查。发现在麻醉后护理单位,手术当天以及术后第一天和第二天,疼痛规程组的报告疼痛水平较低。疼痛方案组中的患者更有可能接受区域组合麻醉。两组在麻醉和手术方面的副作用和并发症方面差异无统计学意义。发现疼痛方案患者的平均住院时间较短,出院至亚急性康复病房的患者较少。疼痛方案组的总住院费用较低。研究结果支持全关节置换患者的护理方案和急性疼痛管理服务的价值。

著录项

  • 作者

    Hoppe, Candace Kathleen.;

  • 作者单位

    Gonzaga University.;

  • 授予单位 Gonzaga University.;
  • 学科 Health Sciences Nursing.
  • 学位 M.S.N.
  • 年度 2001
  • 页码 76 p.
  • 总页数 76
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 预防医学、卫生学;
  • 关键词

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