無痛病房的建立及管理進展_West China Medical Journal

Authors：

葉霞 ,  寧寧 , 呂娟 , 劉曉艷 , 陳忠蘭

Corresponding?author：

寧寧, Email: pioneer_ava@163.com

Keywords：

疼痛護理; 無痛病房; 建立與管理

Video：

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【摘要】　通過對無痛病房概念、模式、管理及疼痛護理方式的全面闡述，指出無痛病房的建立，需要以醫護人員的共同參與和多學科的合作為基礎，需要有一套完善科學的管理制度、操作流程及評價體系為支撐，規范有效的疼痛護理方法與機制，是患者獲得疼痛治療與護理的重要保證。

Citation： 葉霞,寧寧,呂娟,劉曉艷,陳忠蘭. 無痛病房的建立及管理進展. West China Medical Journal, 2011, 26(9): 1437-1439. doi: Copy

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7.	朱煒. 創建無痛舒適護理病房的臨床應用與展望[J]. 中國農村衛生事業管理, 2006, 26(11): 36-37.
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9.	Mccaffery M, Robinson ES. Your patient is in pain-Here is how you respond[J]. Nursing, 2002, 32(10): 36-45.
10.	趙繼軍, 崔靜. 護士在疼痛管理中的作用[J]. 中華護理雜志, 2009, 44(4): 383-384.
11.	熊謙, 覃衛青. 癌癥疼痛控制及護理進展[J]. 護理研究, 2010, 17(10): 99-100.
12.	Caffery M. Choosing a faces pain scale[J]. Nursing, 2002, 32(5): 68.
13.	趙英. 疼痛的測量和評估方法[J]. 中國臨床康復, 2002, 6(16): 2347-2352.
14.	薛紀秀, 倪家驤, 徐娜. 脊髓電刺激鎮痛術的研究現狀[J]. 中國臨床康復, 2004, 8(29): 6462-6463.
15.	Moiniche S, Kehlet H, Dahl JB. A qualitative and quantitative systematic review of preemptive analgesia for postoperative pain relief: the role of timing of analgesia[J]. Anesthesiology, 2002, 96(3): 725-741.
16.	Crews JC. Multimodal pain management strategies for office-based and ambulatory procedure[J]. JAMA, 2002, 288(5): 629-632.
17.	楊蓉, 陳靜, 郭媛, 等. 疼痛病房的運作管理[J]. 現代護理, 2006, 12(8): 765-766.
18.	石黔珠. 骨科手術患者疼痛的護理[J]. China Foreign Medical Treatment, 2010, 29(13): 163.
19.	吳錦明, 張利萍, 陳曉. 重視術后疼痛護理[J]. 國外醫學護理學分冊, 2005, 24(7): 393-395.
20.	Bostrom B, Sandh M, Lundberg D, et al. Cancer patients’experiences of care related to pain management before and after palliative care referral[J]. Eur J Cancer Care (Engl), 2004, 13(3): 238-245.
21.	Mancini I, Lossignol D, Obiols M, et al. Supportive and palliative care: experience at the Institut Jules Bordet[J]. Supp Care Cancer, 2002, 10(1): 3-7.
22.	Bookbinder M, Blank AE, Arney E, et al. Improving end-of-life care: development and pilot-test of a clinical pathway[J]. J Pain Symptom Manage, 2005, 29(6): 529-543.
23.	Vega-Stromberg T, Holmes SB, Gorski LA, et al. Road to excellence in pain management: research, outcomes and direction (ROAD) [J]. J Nurs Care Qual, 2002, 17(1): 15-26.
24.	劉凌云. 術后疼痛控制障礙原因分析及干預對策[J]. 臨床和醫學實驗雜志, 2008, 7(1): 102.
25.	李欣. 影響術后疼痛控制的相關因素及護理對策[J]. 疾病監測和控制雜志, 2009, 3(11): 697-698.

1. 　李小寒, 尚少梅. 基礎護理學[M]. 4版. 北京: 人民衛生出版社, 2006: 49.
2. 　Miaskowski C, Lee KA. Pain, fatigue, and sleep disturbances in oncology outpatients receiving radiation therapy for bone metastasis: a pilot study[J]. J Pain Symptom Manage, 1999, 17(5): 320-332.
3. 　Naylor M, Brooten D, Jones R, et al. Comprehensive discharge planning for the hospitalized elderly. A randomized clinical trial[J]. Ann Intern Med, 1994, 120(12): 999-1006.
4. 　Berry PH, Dahl JL. The new JCAHO Pain Standards: implications for pain management nurses[J]. Pain Manage Nurs, 2000, 1(1): 3-12.
5. 　朱煒, 楊玉英. 創建手術后無痛護理病房的效果[J]. 中華護理雜志, 2007, 42(9):791-792.
6. 　Panteli V, Patistea E. Assessing patients′satisfaction and intensity of pain as outcomes in the management of cancer-related pain[J]. Eur J Oncol Nurs, 2007, 11(5): 424-433.
7. 　朱煒. 創建無痛舒適護理病房的臨床應用與展望[J]. 中國農村衛生事業管理, 2006, 26(11): 36-37.
8. 　李樹人. 無痛醫院的規范化管理[J]. 實用疼痛學雜志, 2005, 1(4): 193-194.
9. 　Mccaffery M, Robinson ES. Your patient is in pain-Here is how you respond[J]. Nursing, 2002, 32(10): 36-45.
10. 　趙繼軍, 崔靜. 護士在疼痛管理中的作用[J]. 中華護理雜志, 2009, 44(4): 383-384.
11. 　熊謙, 覃衛青. 癌癥疼痛控制及護理進展[J]. 護理研究, 2010, 17(10): 99-100.
12. 　Caffery M. Choosing a faces pain scale[J]. Nursing, 2002, 32(5): 68.
13. 　趙英. 疼痛的測量和評估方法[J]. 中國臨床康復, 2002, 6(16): 2347-2352.
14. 　薛紀秀, 倪家驤, 徐娜. 脊髓電刺激鎮痛術的研究現狀[J]. 中國臨床康復, 2004, 8(29): 6462-6463.
15. 　Moiniche S, Kehlet H, Dahl JB. A qualitative and quantitative systematic review of preemptive analgesia for postoperative pain relief: the role of timing of analgesia[J]. Anesthesiology, 2002, 96(3): 725-741.
16. 　Crews JC. Multimodal pain management strategies for office-based and ambulatory procedure[J]. JAMA, 2002, 288(5): 629-632.
17. 　楊蓉, 陳靜, 郭媛, 等. 疼痛病房的運作管理[J]. 現代護理, 2006, 12(8): 765-766.
18. 　石黔珠. 骨科手術患者疼痛的護理[J]. China Foreign Medical Treatment, 2010, 29(13): 163.
19. 　吳錦明, 張利萍, 陳曉. 重視術后疼痛護理[J]. 國外醫學護理學分冊, 2005, 24(7): 393-395.
20. 　Bostrom B, Sandh M, Lundberg D, et al. Cancer patients’experiences of care related to pain management before and after palliative care referral[J]. Eur J Cancer Care (Engl), 2004, 13(3): 238-245.
21. 　Mancini I, Lossignol D, Obiols M, et al. Supportive and palliative care: experience at the Institut Jules Bordet[J]. Supp Care Cancer, 2002, 10(1): 3-7.
22. 　Bookbinder M, Blank AE, Arney E, et al. Improving end-of-life care: development and pilot-test of a clinical pathway[J]. J Pain Symptom Manage, 2005, 29(6): 529-543.
23. 　Vega-Stromberg T, Holmes SB, Gorski LA, et al. Road to excellence in pain management: research, outcomes and direction (ROAD) [J]. J Nurs Care Qual, 2002, 17(1): 15-26.
24. 　劉凌云. 術后疼痛控制障礙原因分析及干預對策[J]. 臨床和醫學實驗雜志, 2008, 7(1): 102.
25. 　李欣. 影響術后疼痛控制的相關因素及護理對策[J]. 疾病監測和控制雜志, 2009, 3(11): 697-698.

West China Medical Journal

無痛病房的建立及管理進展

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