美国疼痛学会评价体系在骨科手术后患者疼痛管理中的应用分析

摘要

Objective To explore the role of American Pain Society ( APS) evaluation system in bone pain management . Methods Orthopaedic patients were treated with a conventional pain treatment and nursing during 2011 in our hospital .The APS eval-uation system was applied in pain management in 2012 after acute pain management services were developed .The pain management service process and quality of the results were compared between the two years .Results The pain assessment method was more correct when compared before and after management .The observation records were made in time .Analgesia was effectively controlled .Patient knowledge ,pain services such as pain control effect and sleep time after management were all better than before .All the differences were statistically significant ( P<0.01 ) .Conclusion Application of the APS evaluation system for pain management pointes out the direc -tion of hospital high quality pain management that is helpful to improve the pain service .%目的：探讨美国疼痛学会（American Pain Society，APS）评价体系在骨科疼痛管理中的作用。方法2011年我院骨科患者术后采取常规疼痛治疗及护理，2012年开展急性疼痛管理服务后，采用APS评价体系对患者进行疼痛管理，比较疼痛管理前后的服务过程及结果质量考核的情况。结果管理后患者疼痛评估方法较管理前正确，观察处理记录及时，镇痛得到规范有效的控制；患者掌握知识、疼痛控制效果、睡眠时间等疼痛服务结果均优于管理前，差异有统计学意义（ P＜0.01）。结论应用APS评价体系进行疼痛管理，给医院优质疼痛管理指明了方向，有利于疼痛服务工作的持续改进。