摘要
烧伤创面换药是严重烧伤患者治疗过程中必不可少的重要环节,其所带来的烧伤操作性疼痛(procedural pain)最常见、痛苦最大,并可造成机体过度应激反应,对机体产生不良影响;且长期不受控制的疼痛不仅使患者情绪恶化,产生恐惧、焦虑和抑郁等问题,还可直接影响创面的愈合速度与质量,从而在一定程度上影响烧伤患者的预后与转归。医护人员对烧伤操作痛的管理具有重要意义,但是由于部分操作者对烧伤操作性疼痛认识不足,重视度不高,烧伤操作痛的管理现状不容乐观。本文综述了烧伤操作痛的药物管理、非药物管理两方面的临床发展现状,以期为临床烧伤操作痛的管理提供参考。
Addressing burn wound is an indispensable procedure of treating severely burned patients. The procedural pain is common but hard to bear,which can cause adverse effects on the body as well as making it overreacting. More worse,patients will not only become emotional,but also feared,anxious and depressed if the uncontrollable pain lasts too long,thus reducing the cure speed and quality of burned area and affecting the prognosis and outcomes of patients. Healthcare staff actually play a significant role in treating the pain caused by addressing burn wound,however,due to that some of the staff haven＇t taken the procedural pain seriously or haven＇t mastered enough knowledge in this field,the current situation of managing the procedural pain caused by addressing burn wound is not optimistic. In this article,the clinical development of drug and non-drug management of the procedural pain caused by addressing burn wound is reviewed in the hope of providing some references when treating it.
作者
孙占颖
王艳
舒勤
SUN Zhan-yin 1,WANG Yan 1,SHU Qin 2(1.Basic Medical School,Nursing School,Army Medical University,Chongqing 400038,China;2.Field Nursing Teaching and Research Office,Army Medical University,Chongqing 400038,Chin)
出处
《创伤外科杂志》
2018年第8期632-635,共4页
Journal of Traumatic Surgery
关键词
烧伤
操作痛
疼痛管理
burn
procedural pain
pain management
