| 英文摘要 |
This article describes the application of Good & Moore’s Middle Range Theory of a balance between analgesia and side effects to assess and care for a postoperative total knee replacement patient. This theory has been applied in postoperative and cancer pain. The theory not only focuses on pain medication and regular assessment of pain and side effects, but also intervenes with nonpharmacological adjuvant and patient education. At the same time, this theory emphasizes the importance of reassessment and reintervening to achieve the maximal pain relief under the minimal side effects. At initial assessment, the author found that the patient encountered acute pain, sleep and activity problems, and the potent pain medication and pharmacological adjuvant that patient used could not relieve her pain effectively. Moreover, her unrelieved pain affected her activity and sleep. Pain was the major problem, therefore this Middle Range Theory was used to reassess patient’s pain, and reintervene after setting a mutual goal from April 17th to 19th, 2013. Except patient’s drugs (morphine and cataflam), non-pharmacological adjuvant (ice compress and progressive muscle relaxation) and patient education also be applied to relieve patient’s pain. The author found that the balance between analgesia and side effects theory can be used successfully for assessing and intervening acute postoperative pain in a total knee replacement patient. The theoryand evidence-based caring experience would provide nurses with a reference for pain relief while taking caring patients after total knee replacement. |
