Evidence-based practice for pain management in patients after hepatectomy
10.3760/cma.j.cn115682-20240604-03130
- VernacularTitle:肝切除术后患者疼痛管理的循证实践
- Author:
Yushuo NIU
1
;
Cuicui LI
1
;
Lin WANG
1
;
Yajun LI
1
;
Runan ZHAO
1
;
Xiaohong HOU
1
Author Information
1. 山东第一医科大学附属省立医院东院肝胆外科，济南 250000
- Publication Type:Journal Article
- Keywords:
Partial hepatectomy;
Pain;
Evidence-based practice;
Nursing quality audit
- From:
Chinese Journal of Modern Nursing
2025;31(15):2022-2030
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To carry out evidence-based practice for postoperative pain management in patients undergoing hepatectomy based on the knowledge to action (KTA) framework, and to evaluate the application effects of the best evidence.Methods:A systematic review of databases on pain management for hepatectomy patients both domestically and internationally was conducted to form the best evidence. This was combined with the Postoperative pain assessment and nursing in adults group standard to form quality review indicators. From November to December 2023, a baseline review was conducted with 21 healthcare staff and 31 patients undergoing laparoscopic hepatectomy at the Hepatobiliary Surgery Department of Shandong Provincial Hospital. The barriers to evidence-based practice were analyzed, and the best evidence application and transformation actions were implemented. A re-evaluation was conducted from January to March 2024 after applying the evidence with 31 laparoscopic hepatectomy patients and 21 healthcare staff. The execution rates of the review indicators, patient pain levels, satisfaction with pain control, and patient comfort were compared before and after evidence application. Results:After applying the evidence, the execution rate of the review indicators by healthcare staff increased to 19.35%-100.00%. Post-intervention, the pain scores at postoperative immediate, 6, 12, 24, and 48 hours were significantly lower than before the evidence application, and the differences were statistically significant ( P<0.05). Additionally, post-intervention, the patients' satisfaction with pain control and comfort scores were significantly higher than before the evidence application, and the differences were statistically significant ( P<0.05) . Conclusions:The application of the best evidence for pain management in hepatectomy, combined with the construction of quality review indicators and evidence-based practice, can alleviate postoperative pain in patients, improve their satisfaction, and enhance their comfort.
