การดูแลระงับปวดหลังผ่าตัดในโรงพยาบาลราชบุรี

บทคัดย่อ

          Objective:  To evaluate postoperative pain management including methods of treatment, analgesic effect, and satisfaction of patient.

          Method:  A Descriptive study by questionnaire on the day after surgery, one hundred and twenty adult patients who had undergone various types of surgery were questioned about post-surgical pain and pain treatment in the recovery room and in the ward. Complications which could be associated with pain were recorded, including pain relief satisfaction in each patient.

          Result: In the recovery room, nineteen percent of patients felt moderate to severe pain. Seventythree percent of those who reported moderate pain and 25% of those who reported severe pain received no treatment. The most commonly used method of treatment of postoperative pain in the ward was intramuscular opioid injection. After administering the analgesic drug, 30% of patients still felt pain without any Iessening or little decrease in degree of pain, and about 40% wanted additional analgesic. In this study, no serious complications associated with pain were found and the highest level of reported patient satisfaction in postoperative pain relief was good.

          Conclusion: Postoperative pain management can be done in many ways including single or combination methods. Increased effectiveness of pain relief should be improved with follow up and adjusting treatment in individual patients.