摘要
目的评价以护士为基础、以临床医生和麻醉医生为督导的疼痛管理模式(NBASS-APS)在临床术后疼痛管理中应用的效果。方法将300例腹部手术患者分为观察组和对照组各150例,观察组术后给予NBASS—APS,对照组采用传统的急性疼痛服务模式。记录2组患者的总费用和术后镇痛效果。结果观察组住院费用、肛门排气时间、下床活动时间及住院时间均明显少于对照组,而术后48h睡眠时间明显多于对照组,术后各时间段VAS评分均明显低于对照组。结论NBASS—APS在开腹术后患者中应用能有效地降低患者的住院费用,提高成本效襦。
Objective To evaluate the application effect of nurse based, with clinicians and anesthesiologists supervised acute pain service (NBASS-APS)in clinical postoperative pain manage- ment. Methods 300 cases of abdominal surgery were divided into the observation group and the control group with 150 cases in each group, the observation group was given NBASS-APS, the control group used the traditional acute pain service mode. The total cost and postoperative analgesia effect were recorded in all patients. Results The hospitalization costs, anal exhaust time, ambulation time and hospital stay in the observation group were significantly less than those in the control group, and postoperative 48h sleep time was significantly longer than that in the control group, VAS scores of each time period were significant-ly lower than those in the control group, there was significant difference. Conclusions Application of NBASS- APS in patients after abdominal surgery can effectively reduce hospitalization costs and improve cost efficiency.
出处
《中国实用护理杂志》
北大核心
2012年第31期15-17,共3页
Chinese Journal of Practical Nursing
基金
重庆市卫生局医学科研项目(2011-2-168)