Clinical Researches
Construction and effect of a multidisciplinary pain management model during perioperative period based on project-achieving quality control circle
Liu Donghua, Liu Dongling, Song Xiaoli, Han Qianqian, Liu Yan, Liu Xiaohui, Xiu Linfei, Chen Qi, Ma Jianzhong, Zhang Zongwang, Yang Chunling, Qin Huibo
Published 2023-09-16
Cite as Chin J Mod Nurs, 2023, 29(26): 3588-3593. DOI: 10.3760/cma.j.cn115682-20230202-00321
Abstract
ObjectiveTo construct and implement a multidisciplinary pain management model during the perioperative period based on the project-achieving quality control circle, so as to improve the quality of patient pain management during the perioperative period.
MethodsUsing the convenient sampling, 310 surgical patients from the Department of Gastrointestinal Surgery, Hepatobiliary Surgery, Thoracic Surgery, Urology Surgery and Joint Surgery of Liaocheng People's Hospital from June to July 2020 were taken as the pre-improvement group, and the routine perioperative pain management model was implemented. Starting from August 2020, a project-achieving quality control circle was carried out, following the steps of theme selection, topic clarification, goal setting, formulation of strategies, investigation of the best strategies, implementation of strategies, and confirmation of effectiveness, to implement a multidisciplinary pain management model during the perioperative period. A total of 310 surgical patients admitted to 5 departments from February to March 2021 were included in the improvement group.
ResultsThe implementation rate of multidisciplinary pain management plan, the rate of out-of-bed activity within 24 hours after surgery, the rate of excellent postoperative rehabilitation compliance, and the average sleep score of patients in the improvement group all increased, with statistical differences (P<0.05). After improvement, the awareness rate of pain knowledge among medical and nursing staff, the accuracy rate of nurses' rest and active pain assessment records, and the score of nurse pain knowledge all increased, and the differences were statistically significant (P<0.05) .
ConclusionsThe construction and implementation of a multidisciplinary pain management model during the perioperative period based on the project-achieving quality control circle can effectively improve the quality of pain management for surgical patients, accelerate patient recovery, and improve the pain management of medical and nursing staff.
Key words:
Pain; Enhanced recovery after surgery; Quality control circle; Multidisciplinary diagnosis and treatment; Multimodal analgesia
Contributor Information
Liu Donghua
Department of Anesthesiology, Liaocheng People's Hospital, Liaocheng 252000, China
Liu Dongling
Department of Pharmacy, Liaocheng People's Hospital, Liaocheng 252000, China
Song Xiaoli
Department of Anesthesiology, Liaocheng People's Hospital, Liaocheng 252000, China
Han Qianqian
Department of Anesthesiology, Liaocheng People's Hospital, Liaocheng 252000, China
Liu Yan
Department of Anesthesiology, Liaocheng People's Hospital, Liaocheng 252000, China
Liu Xiaohui
Department of Anesthesiology, Liaocheng People's Hospital, Liaocheng 252000, China
Xiu Linfei
Department of Anesthesiology, Liaocheng People's Hospital, Liaocheng 252000, China
Chen Qi
Nursing Department, Liaocheng People's Hospital, Liaocheng 252000, China
Ma Jianzhong
Operating Room, Liaocheng People's Hospital, Liaocheng 252000, China
Zhang Zongwang
Department of Anesthesiology, Liaocheng People's Hospital, Liaocheng 252000, China
Yang Chunling
Nursing Department, Liaocheng People's Hospital, Liaocheng 252000, China
Qin Huibo
Quality Control Department, Liaocheng People's Hospital, Liaocheng 252000, China
