Objectives: To evaluate the rationality and effectiveness of clinical pharmacist’s intervention in the use of painkillers for post-operative pain treatment at the General Surgery Department of Cai Nuoc General Hospital. Objects and methods: Cross-sectional descriptive study on 172 patients (patients) undergoing surgery at General Surgery Department, Cai Nuoc General Hospital. Results: There were 38.95% of patients studied with adverse effects when using painkillers. The average duration of painkiller use after surgery was 5.6 ± 4.0 days. The differences in the mean time to take the drug between the 2 groups were statistically significant. VAS pain scores of the study samples tended to decrease gradually over 1, 3, 5, 7 days after surgery. On 2 research groups, in general, the average VAS score after 1 day surgery was 4.2 ± 1.9 points and after 7 days was 1.1 ± 0.8 points. Increase the reasonable rate in choosing drugs group 2 with reasonable rate was had a reasonable rate of 68.18%, much higher than group 1 with 46.43%. Conclusion: The incidence of adverse effects was low. The differences in the mean time to take the drug 70.45%, much higher than group 1 with 42.86%; drug dose, group 2 had reasonable rate was 82.95%, much higher than group 1 with 55.95%; the rationality of drug use, group 2 between the 2 groups were statistically significant. VAS pain scores of the study samples tended to decrease gradually over 1, 3, 5, 7 days after surgery. Increase the rationality of drug selection, drug dosage, and general rationality of post-operative pain treatment.
RATIONAITY AND INTERVENTION EFFICIENCY OF CLINICAL PHARMACIST IN USAGE PAINKILLERS AFTER OPERATION
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Keywords
Reasonability, effectiveness of intervention, painkiller after surgery
Abstract
References
[1]
Nguyễn Thụ (2006), Sinh lý thần kinh về đau, Bài giảng Gây mê hồi sức, tập 1, Trường Đại học Y Hà Nội, Nhà xuất bản Y học: 142-151.
Google Scholar
[2]
Aziza M. Hussain et al (2013). Effect of Gender on Pain Perception and Analgesic Consumption in Laparoscopic Cholecystectomy: An Observational Study. Joumal of Anaesthesiology clinical pharmacology, 29(3).
Google Scholar
[3]
Welchek C.M. et al (2009). Qualitative and Quantitative Assessment of Pain, in Acute Pain Management, Editors. Cambridge University Press, 2009: 147-170.
Google Scholar
[4]
Cashman J.N., Shorten G. et al (2006). Patient-Controlled Analgesia in Postoperative Pain Management. W.B. Saunders: Philadelphia: 148-153.
Google Scholar
[5]
Phạm Thị Minh Đức (2003). Sinh lý đau. Chuyên đề sinh lý học: 6.
Google Scholar
[6]
Woodhouse. A. et al (1996). A comparison of morphine, pethidine and fentanyl in the postsurgical patient-controlled analgesia environment. Pain, 64(1): 115-21.
Google Scholar
[7]
Gan T.J et al (2014). Incidence, patient satisfaction, and perceptions of post- surgical pain: results from a us national survey. Cmxent Medical Research and Opinion, 30(1): 149-160.
Google Scholar
[8]
Markus H. et al (2016). Differences in The Experience of Postoperative Pain amongst Women compared to Men after Laparoscopic Gastric Bypass Surgery: A Cohort Study. Orebro University.
Google Scholar