SYSTEMIC ASSESSMENT OF POSTOPERATIVE PAIN AS A PREDICTOR OF PAIN MANAGEMENT

Autor: Vidović, Ivana, Lovrić, Božica, Grbeš, Josipa
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Hrana u zdravlju i bolesti : znanstveno-stručni časopis za nutricionizam i dijetetiku
Volume Specijalno izdanje
Issue 11. Štamparovi dani
ISSN: 2233-1239
2233-1220
Popis: Uvod: Akutna bol pokazatelj je neuvjetovanog djelovanja jer bol uzrokuju pojave okidača, stoga ponašanje pacijenata nije pod djelovanjem okoline. Moderno ublažavanje boli uključuje konstantnu analgeziju, određenu po jačini boli, uravnoteženu uporabu medikamenata i metoda uz najmanji broj komplikacija. Cilj: je ispitati iskustva intenziteta boli kod operiranih bolesnika u prva 24 sata. Metode: u istraživanju su sudjelovale 104 osobe oba spola, starije od 18 godina, hospitalizirane u JIL-u Opće županijske bolnice Požega. Pacijenti su podijeljeni u tri skupine, prema vrsti operacije: ortopedska, abdominalna i ginekološka. Bol je mjerena u tri intervala: kod prijema, 8 sati nakon operativnog zahvata i 16 sati nakon operativnog zahvata. Od farmakoloških metoda korišteni su neopioidni analgetici, slabo opioidni analgetici i jako opioidni analgetici. Korištene su i nefarmakološke metode suzbijanja boli (korištenje pomagala i promjena položaja). Rezultati:Većina ispitanika je prosječne dobi od 69,3 godine, većinom ženskog spola.(p=0,019). Najviša srednja vrijednost Skale za procjenu boli kod prijema je (M=6,68), dok je najniža nakon 16 sati (M=2,99).Srednja vrijednost Skale za procjenu boli najviša kod ginekoloških operativnih zahvata, dok je najniža kod ortopedskih operacija u svim stupnjevima mjerenja.Vidljivo je kako se kod ortopedskih operacija od neopioidnih analgetika primjenjuje najviše Ketonal (p=0,000), dok kod abdominalnih (p=0,606) i ginekoloških (p=0,052) operacija nema statistički značajne razlike u primjeni neopioidnih analgetika. Nefarmakološke mjere se značajno više primjenjuju kod ortopedskih operativnih zahvata (p=0,000). Zaključak: rezultati istraživanja ukazuju na važnost kontinuirane procjene postoperativne boli kako bi pacijenti dobili pravovremenu i učinkovitu analgeziju.
Introduction:Acute pain is an indicator of unconditioned action because pain is triggered by triggers, therefore patient behavior is not influenced by the environment. Modern pain relief involves constant analgesia, determined by the severity of pain, the balanced use of medications and methods with the least number of complications. Objective: to examine the pain intensity of operated patients in the Intensive Care Unit by applying the pain assessment scale over three time periods: upon admission to the ICU, 8 hours after surgery and 16 hours after surgery. The specific objectives of the study are to examine the application of pharmacological and non-pharmacological pain management methods. Methods: the study was conducted on 104 subjects of both sexes, over 18 years of age, hospitalized at the ICU of the Požega General County Hospital. All patients had undergone surgery. Patients were divided into three groups based on the type of surgery they underwent: orthopedic, abdominal and gynecological. Pain was measured at three intervals: upon admission, 8 hours after surgery and 16 hours after surgery. Non-opioid analgesics, low opioid analgesics and heavily opioid analgesics have been used as pharmacological methods. Non-pharmacological pain management methods had also been used (change of positions, apparatus). Results: Most of the respondents had an average age of 69.3 years, mostly female (p = 0.019). The highest mean value of the Pain Assessment Scale at admission is (M = 6.68), while the lowest after 16 hours (M = 2.99). in all degrees of measurement. It is evident that the most ketonal (p = 0.000) is applied to orthopedic surgeries of non-opioid analgesics, while there is no statistically significant difference in the use of non-opioid analgesics for abdominal (p = 0.606) and gynecological (p = 0.052). Non-pharmacological measures are significantly higher in orthopedic surgery (p = 0.000). Conclusion: The results of the study emphasize the importance of the continuous assessment of the postoperative pain in order for patients to get effective analgesia in time.
Databáze: OpenAIRE
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