KẾT QUẢ CHĂM SÓC GIẢM ĐAU CỦA ĐIỀU DƯỠNG TRÊN NGƯỜI BỆNH PHẪU THUẬT THAY KHỚP HÁNG TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC NĂM 2022

Abstract

Objectives: Describe the results of nursing care for pain relief for hip replacement surgery patients at Viet Duc Friendship Hospital in 2022 and find out some factors related to care outcomes. nursing pain relief. Methodology: A cross-sectional descriptive study of 126 patients who underwent artificial hip replacement surgery and used epidural analgesia at Viet Duc Hospital from August to August. 2022 to December 2022. Results: The average VAS score at rest was quite good: The patient had the most pain when moving on the first day after surgery with moderate pain when moving (VAS 3-4) was 51.6% to the third day only 1.6% of patients still have moderate pain, mostly no pain or little pain. 95.2% of patients were generally satisfied with the pain relief. 94.4% and 89.7% of the patients were satisfied and very satisfied with being provided with complete information when using the family package and pain relief method. Over 99% of patients are satisfied and very satisfied with the pain relief results after surgery. 100% NB feels satisfied and very satisfied with the words, attitudes, and communication of health workers. Patients with surgery time ≤ 2 hours had better pain care results than patients with surgery time over 2 hours (p<0.05). Continuous analgesic infusion rate > 4ml/h has better analgesic care results than drug infusion rate ≤ 4ml/h (p<0.05). Patients with poor pain care had to give more bolus than patients with good analgesia (p<0.05). Conclusion: Outcome of pain care is good. The overall satisfaction score of patients about the effectiveness of analgesia care is high, factors affecting the effectiveness of nursing care analgesia include: surgery time, analgesia infusion rate. Hospitals need to develop a plan to train medical staff on pain-relieving care packages, provide handouts with illustrations on pain-relief packages, classify patients by surgery time group, and surgery to ensure the effectiveness of the pain relief.