[临床研究 PEPCA:患者自控区域镇痛的标准化术前患者教育对术后疼痛的影响]。

IF 1.1 4区 医学 Q3 ANESTHESIOLOGY
Schmerz Pub Date : 2024-10-01 Epub Date: 2023-02-07 DOI:10.1007/s00482-023-00698-6
Tobias Bacher, Andre Ewers
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引用次数: 0

摘要

背景:患者自控镇痛(PCA)是一种行之有效的术后疼痛治疗方法。患者自控区域镇痛(PCRA)是其中一种给药方式,即通过外周区域导管给药局部麻醉剂;但前提条件是对患者进行使用指导。许多资料都建议在手术前进行这些指导,因为术前疼痛管理程序培训已被证明能显著减轻患者的术后疼痛并提高他们的幸福感:目的:与非结构化的术后标准指导相比,旨在评估针对 PCRA 的指导性术前患者教育对骨科手术患者术后疼痛的影响:进行了一项对照研究,包含两个随机样本和一项干预后调查。共有 73 名使用 PCRA 导管进行骨科手术的患者参与了研究。介入组(IG)的 37 名参与者在手术介入前立即接受了以指南为基础的 PCRA 使用结构化指导以及一份讲义。对照组(CG)的 36 名患者在麻醉恢复室接受术后指导。术后2小时(t1)、6小时(t2)和24小时(t3),根据数字评分量表(NRS)记录疼痛情况:结果:两组患者的平均疼痛评分在统计学上没有明显差异;但在 t1 和 t3 时,IG 组的平均疼痛评分较低:结论:IG 组的疼痛没有明显减轻。建议对这一主题进行更多的研究,并增加样本和调整时间点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Clinical study PEPCA : The effect of standardized preoperative patient education for patient-controlled regional analgesia on postoperative pain].

Background: Patient-controlled analgesia (PCA) is a well-established form of postoperative pain management. One form of administration is patient-controlled regional analgesia (PCRA), where local anesthetics are administered via peripheral regional catheters; however, a prerequisite is that the patients are instructed on its use. A multitude of sources recommend that these instructions are given before surgery as preoperative training on pain management procedures has been shown to significantly reduce patients' postoperative pain and increase their well-being.

Objective: The aim was to assess the effect of guideline-assisted preoperative patient education for PCRA on postoperative pain in patients undergoing orthopedic surgery compared to unstructured postoperative standard instructions.

Material and methods: A controlled study with two randomized samples and a postinterventional survey was conducted. Overall, 73 patients with PCRA catheters for orthopedic surgery were enrolled in the study. The 37 participants in the interventional group (IG) received guideline-based structured instructions on PCRA use as well as a handout immediately before the surgical intervention. The 36 patients in the control group (CG) received postoperative instructions in the anesthesia recovery room. Pain was documented according to the numerical rating scale (NRS) at 2h (t1), 6h (t2), and 24h (t3) after surgery.

Results: There were no statistically significant differences in the average pain scores between the two groups; however, there were lower mean pain scores in the IG at t1 and t3.

Conclusion: A significant reduction of pain in the IG could not be shown. Further studies concerning this topic with larger samples and adapted points in time are recommended.

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来源期刊
Schmerz
Schmerz 医学-临床神经学
CiteScore
2.00
自引率
20.00%
发文量
64
审稿时长
6-12 weeks
期刊介绍: Der Schmerz is an internationally recognized journal and addresses all scientists, practitioners and psychologists, dealing with the treatment of pain patients or working in pain research. The aim of the journal is to enhance the treatment of pain patients in the long run. Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of pain research, pain management and pain symptom management. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.
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