کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2765659 1150969 2008 13 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Reducing pain in patients undergoing cardiac surgery after implementation of a quality improvement postoperative pain treatment program
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
پیش نمایش صفحه اول مقاله
Reducing pain in patients undergoing cardiac surgery after implementation of a quality improvement postoperative pain treatment program
چکیده انگلیسی

PurposeThe aim of this study was to test the effectiveness of a quality improvement postoperative pain treatment program after cardiac surgery.Materials and MethodsThis was a prospective, quasiexperimental study using nonequivalent groups comprising 3 periods: baseline (group baseline), implementation of the algorithm for acute pain management, and reassessment (group reassessment). Inclusion of 133 patients after elective cardiac surgery at an 18-bed surgical intensive care unit (SICU) at a Swiss university hospital. The algorithm was implemented by training, pocket guidelines, regular audits, and feedback. The implementation period was completed when the adherence to 2 of 3 process indicators attained at least 70% over 2 months. Visual analog scales (VAS) for pain, morphine consumption, pain perception, and sleep quality were assessed during stay in SICU and after 1 month and 6 months.ResultsThe assessment included 79 patients at baseline and 54 in the reassessment periods. Pain intensity at rest decreased from 2.7 ± 1.4 to 2.2 ± 1.4 cm (VAS; P = .008). Retrospective perception of pain intensity at rest decreased from 3.8 ± 2.2 to 2.6 ± 1.8 (P = .004). The proportion of patients with no pain or often without pain increased from 11% to 37% (P = .005). The number of patients with sleep disturbances decreased from 68% to 35% (P = .012). No differences were observed at 1 and 6 months postoperatively.ConclusionsAfter algorithm implementation in the SICU, pain intensity at rest decreased and quality of sleep improved.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Critical Care - Volume 23, Issue 3, September 2008, Pages 359–371
نویسندگان
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