Development A Pain Management Guideline in Somdejphrajaotaksinmaharaj Hospital
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Abstract
Background: Pain is an uncomfortable emotional and emotional experience, which occurs in conjunction with destroy tissues. Professional nurses will be close-knit patients throughout the day. Professional nurses are the key person to assess and deal with pain in all patients. There is also a lack of knowledge and awareness in pain management. Pain assessment is not comprehensive, intermittent, and the recording is incomplete. In addition, the guidelines are not specific to individual patients, as well as the absence of guidelines, and the hospital's pain management. The guidelines have been developed to manage the pain of the hospital for the effectiveness and efficiency of the hospital's pain management.
Objectives: To develop of guidelines for pain management and pain management guideline assessment in Somdejphrajaotaksinmaharaj Hospital.
Method and Material: This study was a research and development. The sample was divided into 2 groups: (1) 374 professional nurses and (2) 134 patient’s medical records. There were 4 steps in the research process include: (1) study current situation, problems and obstacles, (2) creating and monitoring the pain management guidelines (3) the implementation and (4) evaluation of pain management guidelines. Research instrument were the interview form, survey form and patient’s medical record form. Data analysis was content analysis and descriptive statistics.
Results: The current state of pain management found that nurses recognized the pain management guidelines (63.01%) and compliance with the guidelines (91.30%). The outcome of pain management guidelines, to compare between the outcomes of the old and the new pain management guidelines were significant difference (p<.01). In addition, patients/relatives still satisfied with the new pain management guidelines at a high level. The nurses were satisfied with the overall of the new pain management guidelines at 48.28%. At the same time, the nurses have attitude that the use of the new pain management guidelines were possible at 70.00%.
Conclusion: The new pain management guidelines can propel the learning process of nurses in pain. The nurses have satisfaction and possible to implement the new pain management guidelines. Meanwhile, can also reduce pain and create satisfaction for patients.
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