Application of active pain assessment in pain management of enhanced recovery after surgery
10.3760/cma.j.issn.1674-2907.2019.08.004
- VernacularTitle:活动性疼痛评估方法在加速康复外科疼痛管理中的应用
- Author:
Jing LI
1
;
Yingge TONG
;
Yuping LIU
;
Weina LI
;
Dandan SONG
Author Information
1. 徐州医科大学附属医院肝胆外科
- Keywords:
Perioperative nursing;
Active pain assessment;
Enhanced recovery after surgery;
Pain management
- From:
Chinese Journal of Modern Nursing
2019;25(8):937-940
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the application of active pain assessment in pain management of enhanced recovery after surgery. Methods? From April 2017 to November 2017, we selected 120 patients with abdominal operation of enhanced recovery after surgery (ERAS) ward in hepatobiliary surgery at the Affiliated Hospital of Xuzhou Medical University by convenient and purposive sampling. All of the patients were divided into control group (n=60) and observation group (n=60) with the method of random number table. Control group carried out routine pain nursing of ERAS. On the basis of that in control group, observation group implemented postoperative pain management with the active pain assessment scale. We compared the times of effective cough and turning over in bed within 24 hours after surgery, pain score of function activity for the first time, time of out-of-bed activity and passage of gas by anus for the first time. Results? Between control group and observation group, the times of effective cough were (3.867±1.454) and (6.483±2.313) respectively with a statistical difference (P＜0.01); the times of turning over in bed were (4.450±1.596) and (6.133±1.874) respectively with a statistical difference (P＜0.01); the pain scores of function activity for the first time were (5.864±1.524) and (3.725±1.572) respectively with a statistical difference (P＜0.01); the time of out-of-bed activity for the first time was (12.483±5.147) hours and (8.800±3.564) hours respectively with a statistical difference (P＜0.01);the time of passage of gas by anus for the first time was (13.264±3.514) hours and (8.345±1.725) hours respectively with a statistical difference (P＜0.01). Conclusions? ERAS combined with active pain assessment is practical. Active pain assessment could effectively evaluate the postoperative painless management,ensure that the postoperative functional exercise is carried out and promote patient rehabilitation.
