Impact of Bundled Care: Optimizing Pain Management Outcomes in Acute Care.

IF 1.6 4区医学 Q2 NURSING

Pain Management Nursing Pub Date : 2025-06-04 DOI:10.1016/j.pmn.2025.05.003

Mary Kelly, Denise Danna, Marsha Bennett, Karen Rice, Helen Calmes, Paige Fisher, Mary Dioise Ramos

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引用次数: 0

Abstract

Purpose: Despite therapeutic advances, inadequate pain management in hospitalized patients often leads to chronic pain and opioid dependency. Nonpharmacologic strategies offer potential benefits, especially when integrated into a bundled care approach that enhances pain management and patient engagement. This research aimed to test the effect of a standardized bundle of evidence-based pain care strategies on medical-surgical patients' perceived pain quality outcomes.

Design & methods: This study employed a 2-group, quasi-experimental design to assess the impact of a unit-based intervention, PAIN-X Therapy, on pain care quality outcomes compared to usual pain care.

Results: There were 365 participants included in the study to determine the effects of pain care strategies. The Intervention group reported higher acetaminophen use (p = .0465), lower marijuana use (p = .0002), and greater use of alternative therapies (p = .0505). Those receiving comprehensive pain care reported better pain relief (OR=1.73, p < .05) and coping ability (OR=1.61, p < .05). Positive outcomes were observed for participants fully adhering to the therapy bundle.

Conclusion: Full PAIN-X Therapy improves patients' perceptions of pain care quality based on subsample analyses, emphasizing the need for further research to expand and refine these findings.

Clinical implications: Implementing comprehensive pain care bundles enhances patient outcomes and fosters collaboration across healthcare teams, optimizing the delivery of evidece-based pain relief strategies.

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捆绑护理的影响：优化急性护理中的疼痛管理结果。

目的：尽管治疗取得了进步，但住院患者疼痛管理不足往往导致慢性疼痛和阿片类药物依赖。非药物策略提供了潜在的好处，特别是当整合到一个捆绑的护理方法，提高疼痛管理和病人的参与。本研究旨在测试一套标准化的循证疼痛护理策略对内科外科患者感知疼痛质量结果的影响。设计与方法：本研究采用两组准实验设计来评估基于单位的干预，pain - x疗法，与常规疼痛护理相比，对疼痛护理质量结果的影响。结果：有365名参与者被纳入研究，以确定疼痛护理策略的效果。干预组报告说，对乙酰氨基酚的使用较多（p = 0.0465），大麻的使用较少（p = 0.0002），替代疗法的使用较多（p = 0.0505）。接受综合疼痛护理的患者疼痛缓解效果较好（OR=1.73, p < 0.05），应对能力较好（OR=1.61, p < 0.05）。积极的结果被观察到的参与者完全坚持治疗包。结论：基于亚样本分析，Full pain - x疗法提高了患者对疼痛护理质量的感知，强调需要进一步的研究来扩展和完善这些发现。临床意义：实施全面的疼痛护理包提高了患者的治疗效果，促进了医疗团队之间的协作，优化了基于证据的疼痛缓解策略的交付。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pain Management Nursing 医学-护理

CiteScore

3.00

自引率

5.90%

发文量

187

审稿时长

>12 weeks

期刊介绍： This peer-reviewed journal offers a unique focus on the realm of pain management as it applies to nursing. Original and review articles from experts in the field offer key insights in the areas of clinical practice, advocacy, education, administration, and research. Additional features include practice guidelines and pharmacology updates.