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pain management in chronic pancreatitis incorporating safe opioid practices: Challenge accepted

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World Journal of Gastroenterology 2021年第23期27卷 3142-3147页

作者： Ishani Shah Sunil G Sheth Darshan J Kothari Department of Gastroenterology Beth Israel Deaconess Medical CenterHarvard Medical SchoolBostonMA 02215United States Department of Gastroenterology Duke University Medical CenterDurhamNC 27710United States

Patients with chronic pancreatitis often experience severe,unrelenting abdominal pain,which can significantly impact their quality of *** control,therefore,remains central to the overall management of chronic *** of the strategies aimed at treating the pain of chronic pancreatitis are based on expert opinion and vary from one institution to another,as there are no uniform guidelines to direct a stepwise approach towards achieving this *** this editorial,we comment on best practice strategies targeted towards pain control in chronic pancreatitis,specifically highlighting the use of opioid medications in this patient *** discuss various safe and efficacious prescription monitoring practices in this article.

关键词： Chronic pancreatitis Chronic pain pain management Opioid use disorder Prescription opioid misuse Prescription opioid abuse

Implementation and evaluation of a pain management core competency education program for surgical nurses

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International Journal of Nursing Sciences 2021年第1期8卷 51-57,I0004页

作者： Xuelian Liu Li Li Lingxiao Wang Keela Herr Qiuchan Chen Department of Nursing Zhujiang HospitalSouthern Medical UniversityGuangzhouChina College of Nursing The University of IowaIowa CityIAUnited States

Objective:To investigate the effect of a pain management core competency education program on surgical nurses’pain knowledge and pain management nursing practice ***:An 8-h education program focused on pain management core competency was provided twice in two weeks including the multidimensional nature of pain,pain assessment,pharmacological and nonpharmacological management,and knowledge application was developed and implemented for surgical nurses by a multidisciplinary *** teaching approaches such as didactic teaching and vignettes of cases for nurses to discuss were *** Clinical pain Knowledge Test(CPKT)was completed by 135 and 107 nurses from 17 surgical wards pre and post-program,*** hundred and three patients’medical records were randomly sampled according to the number of operations in each ward one week before and in the fifth week after the intervention,*** of patients’postoperative pain management nursing practice behaviors and pain intensity scores were ***:After the intervention,the CPKT scores of nurses significantly increased from 45.6%±12.3%to 54.2%±10.2%(t=5.786,Ppain management nursing practice improved,with proportion of pain assessment documentation increased from 59.6%(121/203)to 74.9%(152/203)(χ^(2)=10.746,P=0.001),those using pain intensity assessment tools increased from 81.8%(99/121)to 95.4%(145/152)(χ^(2)=13.079,Ppain score on the operation day significantly decreased(Z=-2.486,P=0.013),and scores from the first to the third postoperative day also decreased(Z=-2.172,P=0.030).Conclusions:Implementation of a pain management core competency education program for surgical nurses can increase their knowledge of core competencies of pain management,improve selected pain management practices,and decrease p

关键词： Education Nurses pain management Surgery department

pain management using Han’s acupoint nerve stimulator combined with patient-controlled analgesia following neurosurgery A randomized case control study

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Neural Regeneration Research 2008年第7期3卷 809-812页

作者： Junming Ye Zuyu Zhu Cheng Huang Jun Wei Department of Anesthesia First Affiliated Hospital of Gannan Medical College Ganzhou 341000 Jiangxi Province China Department of Neurology First Affiliated Hospital of Gannan Medical College Ganzhou 341000 Jiangxi Province China Department of Physiology Gannan Medical College Ganzhou 341000 Jiangxi Province China

BACKGROUND： Han＇s acupoint nerve stimulator （HANS） has been frequently used to relieve pain by promoting the central nerve system＇s release of endogenous opioid peptides through electric stimulation to the body surface. OBJECTIVE： To investigate the pain-relieving effects of HANS, combined with patient-controlled analgesia, following neurosurgery, and to observe adverse reactions and effects. DESIGN, TIME AND SETTING： A randomized control observation was performed at the Department of Neurology in the First Affiliated Hospital of Gannan Medical College （Ganzhou, Jiangxi Province, China） from January 2005 to February 2006. PARTICIPANTS： Forty patients, who were selected for craniotomy and required pain relief following surgery at the Department of Neurology in the First Affiliated Hospital of Gannan Medical College （China）, were included in this study. METHODS： Forty patients underwent neurosurgery and were randomly divided into two groups： patient-controlled analgesia plus HANS （＋HANS, n = 20） and patient-controlled analgesia （-HANS, n = 20）. Both groups were well matched in baseline data. Automatic syringe infusion pump ZZB-150 was the product of Nantong Aipeng Medical Instruments Co., Ltd. （China）. Patient-controlled analgesia consisted of 100 mL 0.02% lappaconitine/0.02% metoclopramide. LH-402 HANS instrument was produced in Beijing （China）, with a serial number of 402183. The HANS instrumentation was used to stimulate the Hegu-Laogong acupoint on one side and Jiaogan, Shenmen penetrating Shen, Waifei, Naogan penetrating Pizhixia ear acupoints on the affected side for one hour, with 2-hour intervals. The disperse-dense wave was alternating, with a 2/100 Hz frequency of electrical stimulation. MAIN OUTCOME MEASURE： The scores of visual analogue scale and incidence of adverse reaction were observed in two groups following surgery. RESULTS： Compared with the HANS group, the visual analogue scale scores were remarkably lower in the ＋HANS group six hours a

关键词： neurosurgery Han's acupoint nerve stimulator pain management lappaconitine

Nonpharmacological pain management practices among nurses working in multiple centers in Saudi Arabia: A cross-sectional study

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Journal of Integrative Nursing 2023年第4期5卷 292-299页

作者： Afaf Mufadhi ALRIMALI Noran Mohammad AL-HAMAD Faisal Hamoud ALMAZEANI Mona Dahi ALHARBI Department of Research and Development Nursing Executive AdministrationHai’l Health ClusterHai’lSaudi Arabia Intensive Care Unit Sharaf HospitalHai’l Health ClusterHai’lSaudi Arabia Nursing Service Ofice Hai’l General HospitalHai’l Health ClusterHai’lSaudi Arabia

Objective:The aim of the study was to investigate the prevalence,and determinants,of nonpharmacological pain management practices among nurses in multiple *** and Methods:A cross-sectional examination was conducted involving 324 nurses from 16 hospitals in Hai’l,Saudi *** completed a self-reported survey utilizing established tools to assess the frequency of nonpharmacological pain management interventions utilization and identify associated *** analysis was performed using SPSS version ***:Nonpharmacological pain management practices were found to be utilized“sometimes,”with a score of 2.89±*** employed techniques included placing patients in comfortable positions and providing a tranquil *** was the sole demographic factor significantly affecting the use of these techniques(Ppain management education(P=0.004),with prevalent barriers including nurse shortages,multiple responsibilities,heavy workloads,and nurse ***:The study reveals moderate utilization of nonpharmacological pain management approaches,primarily focusing on patient positioning and creating a calm *** nurses exhibited higher adoption rates of these *** to implementation,such as nurse shortages and heavy workloads,were influenced by recent pain management ***,enhancing education and fostering supportive work environments are crucial for surmounting these barriers and promoting pain management awareness among nurses.

关键词： Complementary therapy nonpharmacological interventions nurses pain management

Inter-Professional-Compassionate pain management during endotracheal suctioning: a valuable lesson from a Chinese surgical intensive care unit

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Frontiers of Nursing 2022年第1期9卷 19-27页

作者： Qian-Wen Ruan Maneewat Khomapak Hathairat Sangchan Faculty of Nursing Prince of Songkla UniversityKho HongHat YaiSongkhla 90110Thailand The Second Affiliated Hospital of Kunming Medical University KunmingYunnan 650000China

Objective:To compare the effects of a pain management program and routine suctioning methods on the level of pain presence and agitation in Chinese adults admitted to the intensive care *** disseminate the results from the implementation of the evidence-informed pain management interventions for reducing pain presence and agitation during endotracheal tube suctioning(ETS)and translate the key finding to clinical nursing ***:A quasi-experimental study of a two-group post-test design was conducted in adults admitted after surgery to a surgical intensive care unit(SICU)of the Second Affiliated Hospital of Kunming Medical University,Yunnan,China in ***-two adults who met the study eligibility were included after consent,26 in each *** in the control group received usual care while patients in the intervention group received interventions to reduce agitation and pain-related *** impacts of the intervention on the level of pain presence and agitation were measured at 5 measuring time points using the Chinese versions of Critical-Care pain Observation Tool(CPOT)and Richmond Agitation Sedation Scale(RASS).Results:The level of pain presence in the intervention group statistically significantly decreased during,immediately after,and 5 min after *** level of agitation in the intervention group significantly decreased during and immediately after ***:The findings provide support for the positive pain-relieving effects of the evidence-informed pain-related ETS management interventions when compared with the usual ETS *** study interventions were sufficiently effective and safe to maintain patent airway clean and patent as standardized suctioning and helps pain ***,evidence-based pain-related ETS management intervention is worthy of recommending to utilize in SICU patients as well as other patients who required *** is worth noting that integrating pre-emptive analgesia prescription and a

关键词： agitation China endotracheal tube suctioning intensive care unit pain management pain presence

Non-pharmaceutical intervention and pain management situation for neonatal analgesia

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Frontiers of Nursing 2020年第4期7卷 299-305页

作者： Zi Zeng Yan-Xia Duan Guo-Min Song Henan Vocational College of Nursing AnyangHenan 455000China Department of Nursing Tianjin HospitalTianjin 300211China

Neonatal pain management is an important issue which should have great *** and more researches have proved that neonates can feel pain when undergoes painful procedures such as vaccination,heel stick,and so on,and it will result in shortterm and long-term *** it is very important to manage neonatal *** article summarized some non-pharmaceutical interventions,including sucrose or glucose,non-nutritional sucking(NNS),breastfeeding,facilitated tucking(FT),kangaroo mother care(KMC),swaddling,heel warming,sensorial saturation(SS),and music therapy,which showed obvious effects for neonatal *** addition,this article summarized the progress of neonatal pain intervention in various countries and showed that many countries have not paid enough attention to this problem,while some countries have carried out promotion programs for neonatal pain management which give some clinical enlightenment to our country that we need to pay more attention to this problem.

关键词： neonatal pain pain management non-pharmaceutical intervention

pain management in Pediatric Nursing

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Open Journal of Pediatrics 2023年第3期13卷 379-393页

作者： Senay Cetinkaya Faculty of Health Sciences &#199ukurova University Adana Türkiye

Children often experience pain in different stage of life. After birth, newborns are exposed to many painful attempts and their anxiety levels increase with it. These painful attempts lead to metabolic or physiological problems in newborns. Excessive protein expenditure when exposed to pain for a long time, electrolyte inhalation, weakening of the immune system. Even repetitive painful procedures increase mortality and morbidity. Children experience pain due to acute onset diseases such as otitis media or pharyngitis and also in different medical interventions such vaccination, blood transfusion, vascular access, dressing change, lumber punching, or sickle cell anemia. Appropriate assessment scales should be used to treat pain effectively and adequately. Pharmacological treatment as well as non-pharmacological treatment methods has been found to be effective in the treatment of pain. Non-pharmacological methods allow your body to release natural endorphins and help to lift the pain to a minimum level or completely. In this study, current approaches and studies about pain in children will be presented. Non-pharmacological methods will be examined in more detail. Every child has right to live a painless life. It is one of the main purposes of nursing care to relieve children’s pain and improve their life quality.

关键词： Child Nursing Non-Pharmacological Methods. pain pain Score pain management

Drugs used for pain management in gastrointestinal surgery and their implications

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World Journal of Gastrointestinal Pharmacology and Therapeutics 2024年第5期15卷 15-23页

作者： Ankit Shukla Rajesh Chaudhary Nishant Nayyar Bhanu Gupta Department of Surgery Dr Rajendra Prasad Government Medical CollegeKangra 176001Himachal PradeshIndia Department of Renal Transplant Surgery Dr Rajendra Prasad Government Medical CollegeKangra 176001India Department of Radiology Dr Rajendra Prasad Government Medical CollegeKangra 176001Himachal PradeshIndia Department of Anaesthesia Dr Rajendra Prasad Government Medical CollegeTandaKangra 176001Himachal PradeshIndia

pain is the predominant symptom troubling *** management is one of the most important aspects in the management of surgical patients leading to early recovery from surgical procedures or in patients with chronic diseases or *** groups of drugs are used for dealing with this;however,they have their own implications in the form of adverse effects and *** this article,we review the concerns of different pain-relieving medicines used postoperatively in gastrointestinal surgery and for malignant and chronic diseases.

关键词： Acute pain Acute post operative pain pain score pain after GI surgery Analgesia Spinal anaesthesia Epidural anaesthesia Intravenous anaesthesia Regional anaesthesia pain management

Knowledge and Attitudes of Nurses Working at King Abdulaziz University Hospital toward Cancer pain management

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Open Journal of Nursing 2016年第4期6卷 274-281页

作者： Rolina K. Al-Wassia Department of Radiology King Abdulaziz University Hospital Jeddah Saudi Arabia

Objective: This survey aims to identify the levels of knowledge and attitudes among nurses regarding cancer pain management. Methods: This cross-sectional survey was undertaken at King Abdulaziz University Hospital, Jeddah, between September 4 and September 27, 2015. The survey instrument was a pre-set questionnaire comprising 39 closed-ended format questions. Participants were asked questions to assess their knowledge and attitudes about cancer pain management and adherence to frequent misconceptions regarding opioid therapy. The chi-square test was used to compare differences between variables. Results: One hundred twenty-eight questionnaires were completed and analyzed. A mean sample score of 41.3% was achieved on pain-related knowledge questions. The average score on all 39 questions was 16.1 ± 4.6 (range, 0 - 24). Nurses on the male medical ward were most knowledgeable compared with those on other wards (p p p p p = 0.002). Conclusion: Optimization of inpatient supportive procedures should be a specific task at King Abdulaziz University Hospital until an oncology unit with nurses specialized in cancer care is established.

关键词： Attitude Breakthrough Cancer pain Cancer Knowledge Nurse pain management