Sāpju menedžmenta kvalitāte postoperatīvā periodā bērniem otolaringoloģijas nodaļā
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Date
2021
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Bakalaura darba tēma – „Sāpju menedžmenta kvalitāte postoperatīvā periodā bērniem otolaringoloģijas nodaļā ”. Bakalaura darba pētījums tika veikts ar mērķi noskaidrot un izvērtēt sāpju menedžmenta kvalitāti postoperatīvā periodā bērniem otolaringoloģijas nodaļā. Izvirzītie uzdevumi, lai spētu izdarīt noteikto mērķi: (1) noskaidrot, kāda ir postoperatīvā sāpju menedžmenta kvalitāte otolaringoloģijas nodaļā; (2) noskaidrot, vai pastāv statistiski nozīmīgas atšķirības starp bērnu un vecāku atbildēm par sāpju aprūpi pēc operācijas.
Literatūras apskatā tika analizēta zinātniskā literatūra atbilstoši darba tematam, pievēršot uzmanību tādām tēmām kā sāpju fizioloģija, sāpju aprūpe bērnu populācijā, postoperatīvais sāpju menedžments otorinolaringoloģijā, māsas loma sāpju aprūpē, sāpju ietekme uz pacienta psiholoģisko stāvokli un sāpju aprūpes kvalitātes kritēriju izmantošana medicīnas praksē.
Lai varētu izpildīt autora izvirzīto mērķi, tika izmantota kvantitatīvā pētniecības metode kā anketēšanas aptauja. Pētījums tika veikts Bērnu Klīniskās universitātes otolaringoloģijas nodaļā. Kopā pētījumā piedalījās 60 respondentu, 40 no tiem bija 10-17 gadus veci bērni pēc LOR profila operācijām, 20 no tiem bija vecāki, kuri pavadīja postoperatīvo periodu kopā ar savu bērnu.
Vairākums kvalitātes indikatoru kā: izglītošana, zāļu ievade, sāpju novērtēšana, apmierinātība ar aprūpi, nefarmakoloģisko metožu izmantošana, medicīnas personāla attieksme un reakcija uz sāpēm - tika izpildīta augstā līmenī; indikatori kā: ID pārbaude, atsāpināšana tādā līmenī, lai pacients varētu pildīt savas ikdienas aktivitātes, negatīvās emocijas - tika vērtēti apmierinoši un indikators kā blakus parādību biežums - nebija pietiekami izpildīts. Rezultātos noskaidrojās, ka pastāv statistiski nozīmīgas atšķirības starp vecāku un bērnu viedokļiem par postoperatīvo sāpju menedžmenta kvalitāti. Tās tika vērojamas starp sāpju mērīšanas skalas izvēli, mazāko un lielāko sāpju novērtējumu, pacienta emocijām un fizisko aktivitāšu spējām, kā arī starp priekšlikumiem, ko pacients vēlētos uzlabot viņa sāpju aprūpē.
Atslēgas vārdi: postoperatīvais periods pediatrijā, sāpju menedžments pediatrijā, instrumenti sāpju mērīšanai pediatrijā, sāpju menedžmenta kvalitātes indikatori, māsas loma postoperatīvajā periodā, postoperatīvais periods otorinolaringoloģijā, vecāku loma bērna aprūpē, bērnu psiholoģiskie aspekti slimnīcā, nefarmakoloģiskās metodes.
Bakalaura darbā ir pievienotas 6 tabulas, 2 attēli un ir izmantoti 82 literatūras avoti. Apjoms sastāv no 55 lappusēm bez pielikumiem, un pielikumi sastāda 15 lappuses no darba apjoma.
Bachelor thesis subject – ‘’Quality of pain management during postoperative period in children at the otolaryngology department’’. Bachelor thesis research was done with the aim to evaluate quality of pain management during postoperative period in children at the otolaryngology department. Main goals to evaluate the aim: (1) find out what is the quality of pain management during postoperative period in children at the otolaryngology department; (2) find out if there is a statistically relevant difference between child and parent answers about postoperative pain management. In the literature review scientific literature was analyzed according to the bachelor thesis topic, focusing on pain physiology, pain management in the pediatric population, postoperative pain management in otorhinolaryngology, nurse role in the pain management and the use of pain management quality indicators in medical practice. In order to meet the goals set by the author, the quantitative research method was used as a questionnaire. The study was performed at the Department of Otolaryngology, Children's Clinical University. A total of 60 responses were taken into account in the study, 40 of whom were children age 10-17 years after ENT profile surgeries, and 20 of whom were parents who spent the postoperative period with their child. The obtained results show that more quality indicators were fulfilled at a higher level as: education, medication administration, pain assessment, satisfaction with care, use of non-pharmacological methods, attitude of medical staff and response to pain; indicators as: ID check, analgesia at a level that allows the patient to perform their daily activities and negative emotions were assessed as satisfactory and indicator as the frequency of side effects were not sufficiently fulfilled. Elucidation of results constant statistically significant differences between parent’s and children’s opinions on the quality of postoperative pain management. These are only seen between the choice of a pain measurement scale, the assessment of the pain’s intensity, the patient's emotions and physical activity abilities, as well as the suggestions from the patient about future improvements in his pain management. Keywords: postoperative period in pediatrics, pain management in pediatrics, tools for pain assessment in pediatrics, pain management quality indicators, nurse role in the postoperative period, postoperative period in ENT, psychological aspects of children in hospital, parent role in children’s care, non-pharmacological methods. 6 tables, 2 figures and 82 literature sources are added to the bachelor thesis. The volume consists of 55 pages without appendix, appendix makes up 15 pages of the workload.
Bachelor thesis subject – ‘’Quality of pain management during postoperative period in children at the otolaryngology department’’. Bachelor thesis research was done with the aim to evaluate quality of pain management during postoperative period in children at the otolaryngology department. Main goals to evaluate the aim: (1) find out what is the quality of pain management during postoperative period in children at the otolaryngology department; (2) find out if there is a statistically relevant difference between child and parent answers about postoperative pain management. In the literature review scientific literature was analyzed according to the bachelor thesis topic, focusing on pain physiology, pain management in the pediatric population, postoperative pain management in otorhinolaryngology, nurse role in the pain management and the use of pain management quality indicators in medical practice. In order to meet the goals set by the author, the quantitative research method was used as a questionnaire. The study was performed at the Department of Otolaryngology, Children's Clinical University. A total of 60 responses were taken into account in the study, 40 of whom were children age 10-17 years after ENT profile surgeries, and 20 of whom were parents who spent the postoperative period with their child. The obtained results show that more quality indicators were fulfilled at a higher level as: education, medication administration, pain assessment, satisfaction with care, use of non-pharmacological methods, attitude of medical staff and response to pain; indicators as: ID check, analgesia at a level that allows the patient to perform their daily activities and negative emotions were assessed as satisfactory and indicator as the frequency of side effects were not sufficiently fulfilled. Elucidation of results constant statistically significant differences between parent’s and children’s opinions on the quality of postoperative pain management. These are only seen between the choice of a pain measurement scale, the assessment of the pain’s intensity, the patient's emotions and physical activity abilities, as well as the suggestions from the patient about future improvements in his pain management. Keywords: postoperative period in pediatrics, pain management in pediatrics, tools for pain assessment in pediatrics, pain management quality indicators, nurse role in the postoperative period, postoperative period in ENT, psychological aspects of children in hospital, parent role in children’s care, non-pharmacological methods. 6 tables, 2 figures and 82 literature sources are added to the bachelor thesis. The volume consists of 55 pages without appendix, appendix makes up 15 pages of the workload.
Description
Māszinības (ar specializāciju Ķirurģiskās aprūpes māsa)
Nursing Studies
Veselības aprūpe
Health Care
Nursing Studies
Veselības aprūpe
Health Care
Keywords
postoperatīvais periods pediatrijā, sāpju menedžments pediatrijā, instrumenti sāpju mērīšanai pediatrijā, sāpju menedžmenta kvalitātes indikatori, māsas loma postoperatīvajā periodā, postoperatīvais periods otorinolaringoloģijā, vecāku loma bērna aprūpē, bērnu psiholoģiskie aspekti slimnīcā, postoperative period in pediatrics, pain management in pediatrics, tools for pain assessment in pediatrics, pain management quality indicators, nurse role in the postoperative period, postoperative period in ENT, psychological aspects of children in hospital, parent role in child care