The effect of analgesic education on pain in patients undergoing breast surgery: within 24 hours after the operation.

作者: Yazile Sayin , Guler Aksoy

DOI: 10.1111/J.1365-2702.2011.04009.X

关键词: Clinical trialModified Radical MastectomyPain managementPhysical therapyVisual analogue scaleTest (assessment)AnalgesicBreast surgeryIn patientMedicineAnesthesia

摘要: Aim.  The goal of this study was to assess the effect patient information about analgesics used after breast surgery, on patient’s level pain and mobilisation ability. Background.  Pain needs be managed efficiently; in particular, for surgical cases, postoperative must effectively controlled. Information analgesic helped reduce severity pain. Design.  This a clinical trial comparing test group that received control as usual. Methods.  Eighty-four patients who had modified radical mastectomy or breast-conserving surgery were included study. Data collected clinic with questionnaire, use Short-form McGill-Melzack Questionnaire Visual Analogue Scale. would during period. Results.  results showed reported by similar groups. However, average lower than group. total reduction score group, greater Following 73·8% 50·0% achieved within first six hours. Conclusion.  Informing their care reduced provided earlier mobilisation. Relevance practice.  findings can provide guidance nurses improve management.

参考文章(39)
Ethan M. Lange, Kimberly Doyle, Perry Shen, Timothy Pennell, Edward A. Levine, Nancy D. Perrier, Shuchi Shah, Carolyn Ferree, Breast cancer recurrences in elderly patients after lumpectomy American Surgeon. ,vol. 68, pp. 735- 739 ,(2002)
Nalini Vadivelu, Maggie Schreck, Javier Lopez, Gopal Kodumudi, Deepak Narayan, Pain after mastectomy and breast reconstruction. American Surgeon. ,vol. 74, pp. 285- 296 ,(2008) , 10.1177/000313480807400402
Fatma Ay, Sule Ecevit Alpar, Approaches taken by nurses in treating postoperative pain The journal of the Turkish Society of Algology. ,vol. 22, pp. 21- ,(2010)
Jack Sariego, Breast cancer in the young patient. American Surgeon. ,vol. 76, pp. 1397- 1400 ,(2010) , 10.1177/000313481007601226
Judy Watt-Watson, Bonnie Stevens, Joel Katz, Judy Costello, Graham J Reid, Tirone David, Impact of preoperative education on pain outcomes after coronary artery bypass graft surgery. Pain. ,vol. 109, pp. 73- 85 ,(2004) , 10.1016/J.PAIN.2004.01.012
Rune Gärtner, Maj-Britt Jensen, Jeanette Nielsen, Marianne Ewertz, Niels Kroman, Henrik Kehlet, Prevalence of and Factors Associated With Persistent Pain Following Breast Cancer Surgery JAMA. ,vol. 302, pp. 1985- 1992 ,(2009) , 10.1001/JAMA.2009.1568
Chris Pasero, Persistent Postsurgical and Posttrauma Pain Journal of PeriAnesthesia Nursing. ,vol. 26, pp. 38- 42 ,(2011) , 10.1016/J.JOPAN.2010.11.010
Christine E. Doyle, Preoperative strategies formanaging postoperative pain at home after day surgery Journal of PeriAnesthesia Nursing. ,vol. 14, pp. 373- 379 ,(1999) , 10.1016/S1089-9472(99)80099-9