实施会阴撕裂疼痛管理方案对疼痛评分的影响

IF 0.2 Q4 ANESTHESIOLOGY
K. Ramaswamy, N. Hooker, Z. Kotyra, Saravanan Solai Dhanashekaran, S. Soltanifar, N. Aldamluji
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引用次数: 0

摘要

背景:85%以上的阴道分娩妇女会出现会阴撕裂(PT),其中高达11%可能是三度和四度撕裂,大多数人会感到疼痛。处理不当的疼痛会影响母亲和照顾婴儿的能力。该机构推出了PT疼痛管理计划(PPP),作为质量改进计划的一部分。本文进行了回顾性分析,以确定这种实施方式对疼痛评分和患者满意度的影响。目的:PT疼痛管理程序是否能改善修复后休息12小时和24小时的疼痛评分?该方案是否提高了产妇的满意度?方法:自2020年1月1日起,对PT女性实施疼痛管理方案。为了评估该方案的有效性,从电子医疗记录(Cerner Millennium)中检索了100名在2019年1月1日至2019年3月31日(购买力平价前)进行PT的女性和96名在2020年4月1日到2020年7月31日进行PT的妇女的数据。我们包括了连续出现二级、三级和四级眼泪的女性。结果:12小时时疼痛评分存在显著差异(平均值±标准差,95%置信区间)(2.17±1.11 vs.4.5±1.65[2.33],1.93–2.73,t(194)=11.54,P
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of implementation of perineal tear pain management programme on pain scores
Background: Perineal tear (PT) occurs in more than 85% of the women undergoing vaginal birth and up to 11% of these can be third- and fourth-degree tears and the majority suffer from pain. Poorly managed pain can impact the mother and her capacity to look after the baby. The institution introduced a PT pain management programme (PPP) as part of a quality improvement programme. This paper is a retrospective analysis to determine the effect of this implementation on the pain scores and patient satisfaction. Objective: Does the PT pain management programme improve pain scores at rest 12 and 24 h post-repair? Does the programme improve maternal satisfaction? Methods: A pain management protocol had been implemented for women with PT from January 1, 2020. To assess the effectiveness of the protocol, data were retrieved from electronic medical records (Cerner Millennium) of 100 women who had a PT from January 1, 2019, to March 31, 2019 (pre-PPP), and 96 women who had a PT from April 1, 2020, to July 31, 2020 (post-PPP). We included consecutive women who had second-, third- and fourth-degree tears. Results: A significant difference in the pain scores at 12 h (mean ± SD [difference of means], 95% CI) (2.17 ± 1.11 vs. 4.5 ± 1.65 [2.33], 1.93–2.73, t (194) = 11.54, P
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