Assessment, physiological monitoring, and consequences of inadequately treated acute pain
Assessment, physiological monitoring, and consequences of inadequately treated acute pain
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DOI：
10.1016/j.pmn.2007.11.006
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发表时间：
2008-03-01
影响因子：
1.7
通讯作者：
Polomano, Rosemary C.
中科院分区：
文献类型：
--
作者：
Dunwoody, Colleen J.;Krenzischek, Dina A.;Polomano, Rosemary C.
术后疼痛是一个主要的卫生保健问题。有几个因素导致术后疼痛控制不充分，包括缺乏对先发制人疼痛管理策略的理解，错误的信念和患者的期望，疼痛评估实践的不一致，使用患者必须要求的按需镇痛药，以及缺乏考虑个体差异和要求的镇痛方案。未经治疗的急性疼痛有可能产生急性神经体液变化、神经元重塑和持久的心理和情绪困扰，并可能导致长期的慢性疼痛状态。为了有效地管理术后疼痛，护士必须能够充分评估不同患者人群的疼痛严重程度，了解如何监测与疼痛及其治疗相关的生理变化，准备解决伴随疼痛的心理社会经验，并了解镇痛不足的后果。重要的是护士要了解相关的研究和循证指南，可用于指导疼痛评估和患者监测的做法。(C)2008年，美国疼痛管理护理学会（American Society for Pain Management Nursing）
Postoperative pain is a major health care issue. Several factors have contributed to inadequate postoperative pain control, including a lack of understanding of preemptive pain management strategies, mistaken beliefs and expectations of patients, inconsistencies in pain assessment practices, use of as-needed analgesics that patients must request, and lack of analgesic regimens that account for interindividual differences and requirements. Untreated acute pain has the potential to produce acute neurohumoral changes, neuronal remodeling, and long-lasting psychologic and emotional distress and may lead to prolonged chronic pain states. To effectively manage postoperative pain, nurses must be able to adequately assess pain severity in diverse patient populations, understand how to monitor physiologic changes associated with pain and its treatment, be prepared to address the psychosocial experiences accompanying pain, and know the consequences of inadequate analgesia. It is important for nurses to be aware of relevant research and evidence-based guidelines that are available to guide pain assessments and patient monitoring practices. (C) 2008 by the American Society for Pain Management Nursing.