应用PDCA改善心脏手术后患者疼痛控制的有效率

The Effectiveness of Pain Control in Patients After Cardiac Surgery With PDCA

目的改善心脏手术后患者的疼痛控制,缓解术后患者的疼痛感,促进康复。方法选取开胸术后1周的患者,利用PDCA循环,针对评估工具、疼痛宣教、康复指导及镇痛方案等因素进行改进,并设计调查问卷,调查患者24小时的平均疼痛程度及最严重的疼痛程度,并计算疼痛控制有效率。结果 100%的患者表示存在术后疼痛,经过改进,患者24小时的平均疼痛程度为轻度疼痛的患者较改善前多,疼痛得到有效控制的患者较改善前多,但是24小时最大程度为中度重疼痛的患者较改进前上升。结论改进措施有效地缓解了患者24小时的平均疼痛程度,同时提高了疼痛控制的有效率,但是由于患者活动的增加,24小时最大疼痛程度较改进前强。

Objective To improve the pain control among the patients with heart surgery, relieve the pain and promote the rehabilitation. Methods Patients after thoracotomy in cardiac surgery department were chosen, improvement team were set up, assessment tools, pain education, rehabilitation guidance and pain control methods and other factors were focused, questionnaire were used to survey the average level and maximum pain of pain in 24 hours and pain control efficiency were calculated. Results 100% patients expressed they had experienced postoperative pain, the average level of pain, the effective control of pain in 24 hours were improvement, but more patients experienced moderate or severe pain in 24 hours. Conclusion The improvement measures effectively alleviated the average pain level of 24 hours and improved the effciency of pain control. However, the maximum pain level in the 24 hours was stronger than before.