Influencing factors of pain control among abdominal surgery patients with the enhanced recovery after surgery
10.3760/cma.j.cn115682-20190917-03374
- VernacularTitle:腹部手术加速康复患者疼痛控制结局影响因素的研究
- Author:
Liping FU
1
;
Xia FENG
;
Danying QIU
;
Xiaofen YU
;
Xiaomin CHEN
Author Information
1. 浙江省人民医院（杭州医学院附属医院）麻醉复苏室，杭州 310014
- Keywords:
Pain, postoperative;
Pain management;
Enhanced recovery after surgery;
Abdominal surgery;
Qualitative research;
Phenomenology
- From:
Chinese Journal of Modern Nursing
2020;26(10):1261-1266
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the influencing factors of pain control among abdominal surgery patients with the enhanced recovery after surgery (ERAS) so as to provide a basis for improving pain control.Methods:From May 2018 to November 2018, we selected 15 abdominal surgery patients with ERAS in Hepatobiliary and Pancreatic Surgery at Zhejiang Provincial People's Hospital by purposive sampling. Semi-structured interview was carried out with the method of phenomenology in qualitative research. Colaizzi 7-step analysis was used in data analysis to conclude themes.Results:By interview data analysis, a total of 5 themes that had influences on pain control were concluded: activity-related pain and pain management after removing patient-controlled analgesia (PCA) ; adverse reaction related to pain management; recognition of patients and their family members on pain or pain treatment; information support for pain treatment; influence of non-medical service on patient satisfaction with pain control.Conclusions:We should explore the operation mode of acute pain service organization suitable for our country. Muti-disciplinary team should be used for abdominal surgery patients to strengthen the management of activity-related pain and removing PCA, prevention and treatment for adverse reaction related to pain treatment, information support for pain treatment, and improve the recognition of patients and their family members on pain or pain treatment, and pay attention to the influence of non-medical service on patient satisfaction with pain control so as to improve pain control.
