【摘要】 目的通过持续质量改进,有效缓解骨创伤患者术后疼痛强度,提高护士镇痛管理水平。方法对2011年1～5月住院的100例患者的疼痛管理情况进行调查分析,针对影响有效控制疼痛的原因,2011年6月成立持续质量改进护理小组,构建患者术后疼痛管理模型,依据PDCA循环进行持续质量改进,对实施持续质量改进后的患者疼痛控制效果进行评估。结果实施持续质量改进后,评估100例骨创伤患者的疼痛控制情况,术后72h内的最严重疼痛强度均在5分以下,术后24h、48h及72h的平均疼痛分别为4.3分、3.0分和2.3分;患者对疼痛护理的总体满意度为90%。结论对骨创伤患者的疼痛管理进行持续质量改进,可有效降低患者术后疼痛强度,提高患者对护理的满意度。更多还原

【Abstract】 Objective To effectively relieve patients’ postoperative pain and improve nurses’ level of pain management through continuous quality improvement(CQI).Methods The clinical data of pain management for 100 patients from January to May in 2011 were retrospectively analyzed.Then,a CQI team was set up in June 2011 to formulate postoperative pain management model based on the influencing factors of pain control.The measures of CQI were carried out according to PDCA circle.Results After the implementation of CQI,the most severe pain score within 72 hours after operation in 100 patients with orthopedic traumas were all lower than 5 points.The average pain score was 4.3 points,3.0 points and 2.3 points within 24 hours,48 hours and 72 hours after operation,respectively.The patient satisfaction with pain management was 90 percent.Conclusion The implementation of continuous quality improvement in orthopedic trauma units can effectively relieve patients’ postoperative pain and increase patient satisfaction.更多还原