Author/Editor     Pogačnik, Manca; Skela-Savič, Brigita
Title     Izkušnje pacientov z vodenjem akutne pooperativne bolečine na ortopedskem oddelku Splošne bolnišnice Jesenice
Type     članek
Source     In: Zdravstvene stroke in njihov odziv na zdravstvene potrebe družbe: na dokazih podprto in usklajeno delovanje : zbornik predavanj z recenzijo, Bled, 11.-12. junij 2015 : = Proceedings of lectures with peer review, 11th - 12th June 2015, Bled Jesenice : Fakulteta za zdravstvo
Publication year     2015
Volume     str. 370-377
Language     slv
Abstract     Uvod: Akutna pooperativna bolečina je neprijetna izkušnja s katero se srečujejo pacienti po operativnem posegu. Ustrezno obravnavana akutna bolečina po operativnem posegu poveča udobje pacientov ter skrajša čas hospitalizacije. Namen raziskovalnega projekta je ugotoviti, kako je vodena akutna bolečina pri pacientih na ortopedskem oddelku Splošne bolnišnice Jesenice. Metoda: Kvantitativna raziskava je bila izvedena na ortopedskem oddelku Splošne bolnišnice Jesenice. Kot instrument raziskave smo uporabili strukturirani vprašalnik, ki je zajemal osnovne demografske podatke pacientov, bolečino ter oceno bolečine po operaciji ter sklop vprašanj, ki se je nanašal na zadovoljstvo pacientov glede lajšanja bolečine po operativnem posegu. Populacijo so predstavljali vsi pacienti, ki so prišli na operativni poseg v mesecu juniju 2014. Za analizo rezultatov je bilo uporabljenih 50 vprašalnikov. Zanesljivost merskega instrumenta je znašala 0,709. Za obdelavo podatkov je bil uporabljen program IBM SPSS statistic, verzija 20,0. P- vrednost < 0, 05 je določala statistično pomembnost. Rezultati: Pacienti, ki pred operativnim posegom niso bili seznanjeni z VAS lestvico, so občutili po operativnem posegu manjšo stopnjo bolečine (x% = 5,963, p = 0,651). Pacienti, pri katerih je bil odzivni čas na analgetik kratek (krajši od 10 minut) so bili bolj zadovoljni z lajšanjem pooperativne bolečine (r = 0,310, p < 0,05). Povprečna ocena anketirancev glede zadovoljstva lajšanja bolečine po operativnem posegu je bila 9.04. Povprečna stopnja bolečine anketirancev po operativnem posegu je bila 4.10. Razprava: Rezultati raziskave so prispevali k iskanju področij, na katerih bi bile potrebne izboljšave. Potrebno bi bilo izboljšati ozaveščenost pacientov o bolečini pred operativnim posegom, bodisi ob sprejemu ali uvedbi predoperativnih predavanj. Zaradi premajhnega števila vzorca rezultatov ne moremo posplošiti.Introduction: Acute post-operative pain is an unpleasant experience, which patients meet after the surgery. Properly treated acute pain after an operation increases the patient's comfort and shortens hospitalization time. The aim of the research project is to discover how acute pain is managed in orthopaedic ward patients at the General Hospital Jesenice. Method: A quantitative survey has been performed at the orthopaedic ward of the General Hospital Jesenice. To do this, a structured questionnaire was used. It included the patients' basic demographic information, pain and an estimate of pain after surgery, as well as a number of questions regarding the patients' satisfaction with easing of their pain after surgery. This survey was conducted on patients, who were operated during June 2014. Fifty questionnaires were used to analyse the results. The reliability of our measurement instrument was 0.709. IBM SPSS statistic program was used to process the data. P-value < 0.05 determined the statistical significance. Results: In patients, who had no knowledge of the VAS scale, pain after the operation was smaller (x2 = 5.963, p = 0.651). Patients who took less time to respond to the analgesic (less than 10 minutes) were pleased with the easing of post-operative pain (r = 0.310, p < 0.05). The average evaluation of the patients' satisfaction with the pain relief after surgery was 9.04. The general level of pain after surgery in the patients questioned was 4.10. Discussion: The results of this research have identified the areas in need of improvement. We must achieve a greater pain awareness of our patients before surgery, either on admittance or in a form of pre-operative lectures. The results cannot be generalized because the sample of results was not big enough.
Keywords     protibolečinske terapije
bolezni gibal
pooperativne bolečine