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目的:探讨我院疼痛专科护士对院内持续皮下泵入吗啡镇痛患者的管理方法。方法:对40例院内晚期重度癌痛患者,由疼痛专科护士查看评估患者、参与镇痛方案制定、填写“持续皮下泵入吗啡方案医师审核表”、执行皮下注射操作及镇痛管理等。结果:所有患者实行持续皮下泵入吗啡镇痛3~5天后,静息痛和运动痛评分均一直保持在3分以下,疼痛缓解率达100%,40例患者无一例发生差错事故及纠纷投诉;患者、医生、护士的满意度均达96%以上。结论:我院疼痛专科护士对院内持续皮下泵入吗啡镇痛患者的管理,能保障镇痛效果及医疗安全,减轻医生工作量,提高医护患满意度。
Objective: To investigate the management methods of pain nurses in our hospital on continuous subcutaneous injection of morphine and analgesia in hospital. Methods: Forty patients with severe late-stage in-hospital cancer pain were evaluated by pain specialist nurses. They were involved in the formulation of analgesia, filling in the Doctors’ Checklist for Continuous Subcutaneous Injection of Morphine Program, performing subcutaneous injection and analgesia management . Results: All patients underwent continuous subcutaneous injection of morphine analgesia 3 to 5 days, the resting pain and exercise pain scores were maintained at 3 points or less, the pain relief rate was 100%, 40 patients without error error and dispute complaints Satisfaction of patients, doctors and nurses reached more than 96%. CONCLUSIONS: The management of pain nurses in our hospital who administer continuous subcutaneous injections of morphine into the hospital can guarantee the analgesic effect and medical safety, reduce the workload of doctors and improve the satisfaction of patients with medical care.