دانلود مقاله ISI انگلیسی شماره 72598
عنوان فارسی مقاله

یک بررسی ملی مبتنی بر بیمار در مدیریت درد بعد از عمل در فرانسه، دستاوردهای قابل توجه و چالش های مداوم را آشکار می سازد

کد مقاله سال انتشار مقاله انگلیسی ترجمه فارسی تعداد کلمات
72598 2008 11 صفحه PDF سفارش دهید محاسبه نشده
خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.
عنوان انگلیسی
A patient-based national survey on postoperative pain management in France reveals significant achievements and persistent challenges
منبع

Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)

Journal : Pain, Volume 137, Issue 2, 15 July 2008, Pages 441–451

کلمات کلیدی
درد پس از عمل؛ سازمان ملی؛ بهبود
پیش نمایش مقاله
پیش نمایش مقاله یک بررسی ملی مبتنی بر بیمار در مدیریت درد بعد از عمل در فرانسه، دستاوردهای قابل توجه و چالش های مداوم را آشکار می سازد

چکیده انگلیسی

We carried out a national survey on postoperative pain (POP) management in a representative sample (public/private, teaching/non-teaching, size) of 76 surgical centers in France. Based on medical records and questionnaires, we evaluated adult patients 24 h after surgery, concerning information: pre and postoperative pain, evaluation, treatment and side effects. A local consultant provided information about POP management. Data were recorded for 1900 adult patients, 69.3% of whom remembered information on POP. Information was mainly delivered orally (90.3%) and rarely noted on the patient’s chart (18.2%). Written evaluations of POP were frequent on the ward (93.7%) with appropriate intervals (4.1 (4.0) h), but not frequently prescribed (32.7%). Pain evaluations were based on visual analog scale (21.1%), numerical scale (41.2%), verbal scale (13.8%) or non-numerical tool (24%). Pain was rarely a criterion for recovery room discharge (19.8%). Reported POP was mild at rest (2.7 (1.3)), moderate during movement (4.9 (1.9)) and intense at its maximal level (6.4 (2.0)). Incidence of side effects was similar according to patient (26.4%) or medical chart (25.1%) including mostly nausea and vomiting (83.3%). Analgesia was frequently initiated during anesthesia (63.6%). Patient-controlled analgesia (21.4%) was used less frequently than subcutaneous morphine (35.1%) whose prescription frequently did not follow guidelines. Non-opioid analgesics used included paracetamol (90.3%), ketoprofen (48.5%) and nefopam (21.4%). Epidural (1.5%) and peripheral (4.7%) nerve blocks were under used. Evaluation (63.4%) or treatment (74.1%) protocols were not available for all patients. This national, prospective, patient-based, survey reveals both progress and persistent challenges in POP management.

خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.