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開腹手術病人止痛劑要求時疼痛程度及相關因素之探討.

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開腹手術病人止痛劑要求時疼痛程度及相關因素之探討.

Postoperative Pain When Analgesic (Demerol)

Required and Its Related Factor among Abdominal

Surgical Patients

翁麗雀;鄭綺 摘要 本研究在探討開腹手術病人手術後 24 小時內止痛劑(demerol)要求(注射劑量、 次數及間隔時間)、疼痛程度(疼痛強度、疼痛感覺、情感表現)及影響因素。 以立意取樣法選取 60 位接受開腹手術後病人,其中 50 位在手術後 24 小時內要 求注射止痛劑,另外 10 位未曾要求。以修正後之 MPQ-SF 疼痛痛評估表評值手 術後 24 小時內要求止痛劑之疼痛程度。研究結果顯示病人在手術後 24 小時內要 求 demerol 注射之平均劑量爲 158.4mg,平均次數爲 3.2 次,平均注射間隔時間 爲 427.4 分。平均疼痛強度 76.8、疼痛感覺 7.1、疼痛情感表現 7.7。而疼痛強度 及疼痛感覺是病人手術後 24 小時內是否要求 demerol 注射最有效的預測變項, 正確預估率爲 90%。而疼痛情感表現是手術後第二天是否再要求注射 demerol 之 預測變項,正確預估率爲 68%。 Abstract

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