护士主导的连续收肌管阻滞镇痛管理流程在膝关节置换术后患者中的应用研究

doi:10.3761/j.issn.2096-7446.2024.10.005

摘要/Abstract

摘要： 目的探讨疼痛专科护士主导的连续收肌管阻滞镇痛管理流程在膝关节置换术后患者中的应用效果。方法依据共识—行动—反馈—讨论的实施策略制订以疼痛专科护士为主导的连续收肌管阻滞镇痛的管理流程。通过便利抽样法,选取2023年8月—11月在浙江省某三级甲等医院某院区行膝关节置管术后行连续收肌管阻滞镇痛的172例患者为研究对象,比较流程应用前后48 h内镇痛不全发生率和时效指标的差异。结果护士主导的流程应用后,试验组36 h内活动时镇痛不全发生率、不良反应发生率、患者等待麻醉科处理时间显著低于对照组（P<0.05）。结论护士主导连续收肌管阻滞镇痛管理流程的应用可明显降低膝关节置管术后镇痛不全的发生率,降低置管后的不良反应发生率,提高医疗效率。

关键词: 膝关节置换术, 连续收肌管阻滞, 管理流程, 急症护理, 手术后护理

Abstract: Objective To investigate the effect of continuous adductor canal block analgesia management process led by pain specialist nurses in patients after knee replacement. Methods According to the implementation strategy of consensus-action-feedback-discussion,the management process of continuous adductor canal block for analgesia was developed with pain specialist nurses as the main body. By convenient sampling method,172 patients who underwent continuous adductor canal block for analgesia after knee replacement in a tertiary grade A hospital in Zhejiang Province from August to November 2023 were selected as the study objects,and the differences in the incidence rate of inadequate analgesia and timeliness indicators of analgesia within 48 hours were compared before and after the application of procedure. Results After the application of nurse-led procedure,the incidence of inadequate analgesia,the incidence of adverse reactions and the waiting time for anesthesiology treatment in the experimental group were significantly lower than those in the control group（P<0.05）. Conclusion The application of nurse-led continuous adductor canal block analgesia management process can significantly reduce the incidence of postoperative inadequate analgesia,reduce the incidence of adverse reactions after catheterization,and improve medical efficiency.

Key words: Knee Replacement, Continuous Adductor Canal Block, Management Process, Emergency Nursing, Postoperative Nursing

吕碧芳, 俞小玲, 陈洁, 陈姝怡, 王文娜. 护士主导的连续收肌管阻滞镇痛管理流程在膝关节置换术后患者中的应用研究[J]. 中华急危重症护理杂志, 2024, 5(10): 894-899.

LÜ Bifang, YU Xiaoling, CHEN Jie, CHEN Shuyi, WANG Wenna. Application of nurse-led continuous adductor canal block analgesic management process in patients after knee replacement[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024, 5(10): 894-899.

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