DOIONLINE

DOIONLINE NO - IJASEAT-IRAJ-DOIONLINE-16914

Publish In
International Journal of Advances in Science, Engineering and Technology(IJASEAT)-IJASEAT
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Volume Issue
Issue
Volume-8,Issue-1  ( Jan, 2020 )
Paper Title
Pain Management Model for Patients Undergoing Lumbar Laminectomy, King Narai Hospital, Lop Buri, Thailand
Author Name
Ananya Manit, Kanniga Chumpueng, Boonsom Phuangnak, Sirirat Kedsem
Affilition
Research and Nursing Development, King Narai Hospital, Lop Buri, Thailand Nursing Department, King Narai Hospital, Lop Buri, Thailand Out Patient Department, King Narai Hospital, Lop Buri, Thailand Nursing Department, Sabot, Lop Buri, Thailand
Pages
11-14
Abstract
The purpose of this qualitative study was to develop a pain management model for patients undergoing lumbar laminectomy at King Narai Hospital, Lop Buri, Thailand. The study sample included 12 staff from the orthopedic multidisciplinary team and 10 patients undergoing lumbar laminectomy. The main management model was developed from: situational analysis; the evidence-based practice of Rosswurm and Larrabe; the Transition theory of Meleis, et al., and preferred music therapy. Subject data was gathered using questionnaires answered by patients undergoing lumbar laminectomy. Data were analyzed using descriptive statistics and content analysis. The pain management model for patients undergoing lumbar laminectomy was developed using the Clinical Practice Guideline (CPG) and Standard Manual of Pain Management. User of CPG, Standard Manual of Pain Management were orthopedic multidisciplinary team, Outcomes of postoperative lumbar laminectomy care were pain score, opioid drug dosages after surgery, postoperative pain management methods, impact from pain to the holistic health status, patient’s satisfaction, knowledge of pain management of nurses, and nurse satisfaction. This study suggests that the model of pain management after undergoing lumbar laminectomy should be developed from the evidence-based practice of Rosswurm and Larrabe, Transition theory of Meleis, et al., and preferred music therapy. This model should be implemented for patients undergoing lumbar laminectomy and in other areas of post-operative care and evaluated using holistic outcomes. Keywords - Pain Management Model, Patients Undergoing a Lumbar Laminectomy
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