Effectiveness of pain management and analgesic administration guidelines in postoperative mothers at Phen Hospital, Udon Thani Province.
Keywords:
pain management, analgesic administration, analgesic administration, mothers after cesarean section recovery roomAbstract
The purpose of this action research was to study the effectiveness of using pain management guidelines and analgesic administration of mothers after cesarean section in the postoperative period in the recovery room. Phen Hospital The sample group consisted of 3 nurse anesthetists and 30 postoperative patients. The research tool for nurse anesthetists is a guideline for back pain management. Surgery in the recovery room and satisfaction assessment form Reliability using Cronbach's alpha coefficient was 0.97 The research tool for patients was a postoperative pain recorder in the recovery room. Data were analyzed using descriptive statistics including frequency, mean, percentage.
The results of the research found that pain management practices and analgesic administration of mothers after cesarean section in the postoperative period in the recovery room Able to reduce pain to 7-10 points. When considering pain medication, it was found that the need for postoperative pain medication in the recovery room decreased. The satisfaction of the anesthesiologists with the pain management practices and analgesic administration of mothers after cesarean section in the postoperative period in the recovery room was found to be at the highest level of satisfaction in the recovery room at 15 minutes, at 30 minutes, at 45 minutes, until at 60 minutes, accounting for 13.3, 10.0, 26.7, 6.7, and 6.7 percent, respectively.
References
ปัญญา สนั่นพาณิชกุล. แนวคิดเกี่ยวกับการผ่าตัดคลอดบุตรทางหน้าท้อง. วารสารศูนย์การศึกษาแพทยศาสตร์คลินิกโรงพยาบาลพระปกเกล้า.2561;35คะนึงนิตย์ อ่อนปาน, นราภรณ์ ขุนกําแหง, 2563) :312-20.
งานการพยาบาลผู้ป่วยผ่าตัดและวิสัญญีพยาบาล. ข้อมูลผู้ป่วยผ่าตัดและวิสัญญีพยาบาล โรงพยาบาลเพ็ญ, 2566
Hinkle, J. & Cheever, K. H. (2018). Brunner & Suddarth’s: Textbook of medical-surgical nursing. (14th). Philadelphia: Wolters Kluwer.
International Association for the Study of Pain. (2017). IASP Terminology. Retrieved October 1, 2023, from https://www.iasppain.org/Education/Content.aspx?ItemNumber1698.
Ngamkham, S., Krutchan, N., Sawangchai, J., Wattanakul, B., Chidnaee, S., & Keawchom, R. (2018). Knowledge of pain assessment and management of Thai nurses. Journal of Nursing and Health Care, 36(1), 81-89. (in Thai)
The Royal College of Anesthesiologists of Thailand together with the Pain Education Association of Thailand. (2011). Clinical Guidance for Acute Postoperative Pain Management. (2nd ed.) Bangkok. (in Thai)
Deming, W. E. (2019). PDCA: Deming Cycle. (online). Retrieved October 1, 2023, from http://adisony.blogspot.com/2012/10/edward-deming.html.
Payomyam, C. (2018). The Effectiveness of an Implementation of Adult Postoperative Pain Order for Postoperative Pain Management in Recovery Room, Hua Hin Hospital. Region 4-5 Medical Journal, 37(3), 262-272. (in Thai)
Boonso, H. K., Chantwilas, S. & Suwannarat, M. (2014). Developing and evaluating the feasibility of implementing guidelines for the management of postoperative pain in recovery room. Journal of the Southern College of Nursing and Public Health Network, 1(1), 43-64. (in Thai)
