• 四川大學(xué)華西護(hù)理學(xué)院（成都，610041）;

【摘要】　 通過對無痛病房概念、模式、管理及疼痛護(hù)理方式的全面闡述，指出無痛病房的建立，需要以醫(yī)護(hù)人員的共同參與和多學(xué)科的合作為基礎(chǔ)，需要有一套完善科學(xué)的管理制度、操作流程及評(píng)價(jià)體系為支撐，規(guī)范有效的疼痛護(hù)理方法與機(jī)制，是患者獲得疼痛治療與護(hù)理的重要保證。

引用本文： 葉霞,寧寧,呂娟,劉曉艷,陳忠蘭. 無痛病房的建立及管理進(jìn)展. 華西醫(yī)學(xué), 2011, 26(9): 1437-1439. doi: 復(fù)制

版權(quán)信息： ?四川大學(xué)華西醫(yī)院華西期刊社《華西醫(yī)學(xué)》版權(quán)所有，未經(jīng)授權(quán)不得轉(zhuǎn)載、改編

1. 　李小寒, 尚少梅. 基礎(chǔ)護(hù)理學(xué)[M]. 4版. 北京: 人民衛(wèi)生出版社, 2006: 49.
2. 　Miaskowski C, Lee KA. Pain, fatigue, and sleep disturbances in oncology outpatients receiving radiation therapy for bone metastasis: a pilot study[J]. J Pain Symptom Manage, 1999, 17(5): 320-332.
3. 　Naylor M, Brooten D, Jones R, et al. Comprehensive discharge planning for the hospitalized elderly. A randomized clinical trial[J]. Ann Intern Med, 1994, 120(12): 999-1006.
4. 　Berry PH, Dahl JL. The new JCAHO Pain Standards: implications for pain management nurses[J]. Pain Manage Nurs, 2000, 1(1): 3-12.
5. 　朱煒, 楊玉英. 創(chuàng)建手術(shù)后無痛護(hù)理病房的效果[J]. 中華護(hù)理雜志, 2007, 42(9):791-792.
6. 　Panteli V, Patistea E. Assessing patients′satisfaction and intensity of pain as outcomes in the management of cancer-related pain[J]. Eur J Oncol Nurs, 2007, 11(5): 424-433.
7. 　朱煒. 創(chuàng)建無痛舒適護(hù)理病房的臨床應(yīng)用與展望[J]. 中國農(nóng)村衛(wèi)生事業(yè)管理, 2006, 26(11): 36-37.
8. 　李樹人. 無痛醫(yī)院的規(guī)范化管理[J]. 實(shí)用疼痛學(xué)雜志, 2005, 1(4): 193-194.
9. 　Mccaffery M, Robinson ES. Your patient is in pain-Here is how you respond[J]. Nursing, 2002, 32(10): 36-45.
10. 　趙繼軍, 崔靜. 護(hù)士在疼痛管理中的作用[J]. 中華護(hù)理雜志, 2009, 44(4): 383-384.
11. 　熊謙, 覃衛(wèi)青. 癌癥疼痛控制及護(hù)理進(jìn)展[J]. 護(hù)理研究, 2010, 17(10): 99-100.
12. 　Caffery M. Choosing a faces pain scale[J]. Nursing, 2002, 32(5): 68.
13. 　趙英. 疼痛的測量和評(píng)估方法[J]. 中國臨床康復(fù), 2002, 6(16): 2347-2352.
14. 　薛紀(jì)秀, 倪家驤, 徐娜. 脊髓電刺激鎮(zhèn)痛術(shù)的研究現(xiàn)狀[J]. 中國臨床康復(fù), 2004, 8(29): 6462-6463.
15. 　Moiniche S, Kehlet H, Dahl JB. A qualitative and quantitative systematic review of preemptive analgesia for postoperative pain relief: the role of timing of analgesia[J]. Anesthesiology, 2002, 96(3): 725-741.
16. 　Crews JC. Multimodal pain management strategies for office-based and ambulatory procedure[J]. JAMA, 2002, 288(5): 629-632.
17. 　楊蓉, 陳靜, 郭媛, 等. 疼痛病房的運(yùn)作管理[J]. 現(xiàn)代護(hù)理, 2006, 12(8): 765-766.
18. 　石黔珠. 骨科手術(shù)患者疼痛的護(hù)理[J]. China Foreign Medical Treatment, 2010, 29(13): 163.
19. 　吳錦明, 張利萍, 陳曉. 重視術(shù)后疼痛護(hù)理[J]. 國外醫(yī)學(xué)護(hù)理學(xué)分冊, 2005, 24(7): 393-395.
20. 　Bostrom B, Sandh M, Lundberg D, et al. Cancer patients’experiences of care related to pain management before and after palliative care referral[J]. Eur J Cancer Care (Engl), 2004, 13(3): 238-245.
21. 　Mancini I, Lossignol D, Obiols M, et al. Supportive and palliative care: experience at the Institut Jules Bordet[J]. Supp Care Cancer, 2002, 10(1): 3-7.
22. 　Bookbinder M, Blank AE, Arney E, et al. Improving end-of-life care: development and pilot-test of a clinical pathway[J]. J Pain Symptom Manage, 2005, 29(6): 529-543.
23. 　Vega-Stromberg T, Holmes SB, Gorski LA, et al. Road to excellence in pain management: research, outcomes and direction (ROAD) [J]. J Nurs Care Qual, 2002, 17(1): 15-26.
24. 　劉凌云. 術(shù)后疼痛控制障礙原因分析及干預(yù)對策[J]. 臨床和醫(yī)學(xué)實(shí)驗(yàn)雜志, 2008, 7(1): 102.
25. 　李欣. 影響術(shù)后疼痛控制的相關(guān)因素及護(hù)理對策[J]. 疾病監(jiān)測和控制雜志, 2009, 3(11): 697-698.
  1. 1. 　李小寒, 尚少梅. 基礎(chǔ)護(hù)理學(xué)[M]. 4版. 北京: 人民衛(wèi)生出版社, 2006: 49.
  2. 2. 　Miaskowski C, Lee KA. Pain, fatigue, and sleep disturbances in oncology outpatients receiving radiation therapy for bone metastasis: a pilot study[J]. J Pain Symptom Manage, 1999, 17(5): 320-332.
  3. 3. 　Naylor M, Brooten D, Jones R, et al. Comprehensive discharge planning for the hospitalized elderly. A randomized clinical trial[J]. Ann Intern Med, 1994, 120(12): 999-1006.
  4. 4. 　Berry PH, Dahl JL. The new JCAHO Pain Standards: implications for pain management nurses[J]. Pain Manage Nurs, 2000, 1(1): 3-12.
  5. 5. 　朱煒, 楊玉英. 創(chuàng)建手術(shù)后無痛護(hù)理病房的效果[J]. 中華護(hù)理雜志, 2007, 42(9):791-792.
  6. 6. 　Panteli V, Patistea E. Assessing patients′satisfaction and intensity of pain as outcomes in the management of cancer-related pain[J]. Eur J Oncol Nurs, 2007, 11(5): 424-433.
  7. 7. 　朱煒. 創(chuàng)建無痛舒適護(hù)理病房的臨床應(yīng)用與展望[J]. 中國農(nóng)村衛(wèi)生事業(yè)管理, 2006, 26(11): 36-37.
  8. 8. 　李樹人. 無痛醫(yī)院的規(guī)范化管理[J]. 實(shí)用疼痛學(xué)雜志, 2005, 1(4): 193-194.
  9. 9. 　Mccaffery M, Robinson ES. Your patient is in pain-Here is how you respond[J]. Nursing, 2002, 32(10): 36-45.
  10. 10. 　趙繼軍, 崔靜. 護(hù)士在疼痛管理中的作用[J]. 中華護(hù)理雜志, 2009, 44(4): 383-384.
  11. 11. 　熊謙, 覃衛(wèi)青. 癌癥疼痛控制及護(hù)理進(jìn)展[J]. 護(hù)理研究, 2010, 17(10): 99-100.
  12. 12. 　Caffery M. Choosing a faces pain scale[J]. Nursing, 2002, 32(5): 68.
  13. 13. 　趙英. 疼痛的測量和評(píng)估方法[J]. 中國臨床康復(fù), 2002, 6(16): 2347-2352.
  14. 14. 　薛紀(jì)秀, 倪家驤, 徐娜. 脊髓電刺激鎮(zhèn)痛術(shù)的研究現(xiàn)狀[J]. 中國臨床康復(fù), 2004, 8(29): 6462-6463.
  15. 15. 　Moiniche S, Kehlet H, Dahl JB. A qualitative and quantitative systematic review of preemptive analgesia for postoperative pain relief: the role of timing of analgesia[J]. Anesthesiology, 2002, 96(3): 725-741.
  16. 16. 　Crews JC. Multimodal pain management strategies for office-based and ambulatory procedure[J]. JAMA, 2002, 288(5): 629-632.
  17. 17. 　楊蓉, 陳靜, 郭媛, 等. 疼痛病房的運(yùn)作管理[J]. 現(xiàn)代護(hù)理, 2006, 12(8): 765-766.
  18. 18. 　石黔珠. 骨科手術(shù)患者疼痛的護(hù)理[J]. China Foreign Medical Treatment, 2010, 29(13): 163.
  19. 19. 　吳錦明, 張利萍, 陳曉. 重視術(shù)后疼痛護(hù)理[J]. 國外醫(yī)學(xué)護(hù)理學(xué)分冊, 2005, 24(7): 393-395.
  20. 20. 　Bostrom B, Sandh M, Lundberg D, et al. Cancer patients’experiences of care related to pain management before and after palliative care referral[J]. Eur J Cancer Care (Engl), 2004, 13(3): 238-245.
  21. 21. 　Mancini I, Lossignol D, Obiols M, et al. Supportive and palliative care: experience at the Institut Jules Bordet[J]. Supp Care Cancer, 2002, 10(1): 3-7.
  22. 22. 　Bookbinder M, Blank AE, Arney E, et al. Improving end-of-life care: development and pilot-test of a clinical pathway[J]. J Pain Symptom Manage, 2005, 29(6): 529-543.
  23. 23. 　Vega-Stromberg T, Holmes SB, Gorski LA, et al. Road to excellence in pain management: research, outcomes and direction (ROAD) [J]. J Nurs Care Qual, 2002, 17(1): 15-26.
  24. 24. 　劉凌云. 術(shù)后疼痛控制障礙原因分析及干預(yù)對策[J]. 臨床和醫(yī)學(xué)實(shí)驗(yàn)雜志, 2008, 7(1): 102.
  25. 25. 　李欣. 影響術(shù)后疼痛控制的相關(guān)因素及護(hù)理對策[J]. 疾病監(jiān)測和控制雜志, 2009, 3(11): 697-698.