An empirical study on comprehensive scoring method for postoperative pain management quality
10.3760/cma.j.cn115682-20210206-00623
- VernacularTitle:术后疼痛管理质量综合评分法的实证研究
- Author:
Jiajia CHEN
1
;
Shaopeng SUN
;
Yingge TONG
;
Xiaoyan LI
;
Fang XU
Author Information
1. 浙江中医药大学附属第一医院手术室，杭州 310006
- Keywords:
Pain;
Postoperative care;
Quality index;
Comprehensive scoring
- From:
Chinese Journal of Modern Nursing
2022;28(1):41-45
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore whether the comprehensive scoring method of postoperative pain management quality can effectively evaluate the quality of postoperative pain management in hospitals or departments.Methods:Using the purposive sampling method and the convenient sampling method, a total of 9 Orthopedic Departments of 9 hospitals in Zhejiang Province and Jiangsu Province from January to May 2018 were selected as the research objects. According to whether it was a painless ward certified by the hospital, they were divided into the painless ward group (4 departments) and the non-painless ward group (5 departments). The postoperative pain management quality comprehensive scoring method, the weighted rank sum ratio method and the weighted TOPSIS method were used to calculate the scores and rankings of each department. The score differences of different groups were compared, and the correlation analysis of the ranking results of different evaluation methods was carried out.Results:The total score of the first-level index of pain management comprehensive scoring method and the scores of all dimensions in the painless ward were higher than those of the non-painless ward, and the differences were statistically significant (all P<0.05). The scores of environmental and materials, system/guidelines/procedures, pain assessment, analgesia treatment, and analgesic effect in the secondary indicators of pain management comprehensive scoring method in painless wards were higher than those of non-painless wards, and the differences were statistically significant (all P<0.05). The results of three methods for evaluating quality of postoperative pain management in the department were not all the same, but they were positively correlated. The correlation coefficients of postoperative pain management quality comprehensive scoring method, the weighted TOPSIS method and the weighted rank sum ratio method were 0.933 and 0.833 (all P< 0.01) . Conclusions:The comprehensive scoring method of postoperative pain management quality can effectively reflect the pros and cons of postoperative pain management quality in hospitals or departments.
