膝關節置換術後疼痛處理護理指導完整性改善方案

Total Knee Replacement Pain Management: Enhancing Nursing Instructions to Patients

本專案旨在提昇膝關節置換術後疼痛處理護理指導的完整性。專案於2007年1月3日至2007年6月30日實施，專案內容包括四個方向：改善護理人員對膝關節置換術後疼痛處理的知識、製作膝關節置換術後疼痛處理護理指導單張、發展口語式疼痛視覺類比量表、及建立膝關節置換術後疼痛處理護理照護流程。結果顯示於出院當日病人的膝關節置換術後疼痛處理效果分數由1.7提昇至3.6、護理人員之膝關節置換術後疼痛處理護理指導執行率由28.6%提昇至95.0%、護理人員之膝關節置換術後疼痛處理知識正確率由62.1%提昇至93.1%。由以上改善成效證明改善膝關節置換術後疼痛處理護理指導的完整性能夠幫助病人減輕疼痛。

The purpose of this project was to improve the comprehensiveness of nursing instructions given to patients on managing pain following total knee replacement surgery. The project began on 3 January 2007 and concluded on 30 June of the same year. The four methods used included 1) promoting the knowledge of nurses with regard to postoperative pain management; 2) establishing nursing instruction sheets for postoperative pain management; 3) adapting a visual pain analog scale to accept information expressed verbally; and 4) developing standard nursing care procedures for post-operative pain management. Results showed the score for patient pain management effectiveness following total knee replacement rose from an initial 1.7 to 3.6 at discharge. Nursing instruction performance also rose from 28.6% to 95.0% and the correctness of nurse knowledge with regard to postoperative pain management rose from an initial 62.1% to 93.1%. In conclusion, this project to improve the appropriateness and comprehensiveness of nurse instructions to patients with the objective of managing pain following total knee replacement surgery effectively achieved significantly positive results.