[Optimizing XXXX therapy on acute surgical wards].

@entity1 @entity282 @entity1286 @entity158
The aim of this interdisciplinary project was the improvement of @entity282 management on surgery wards of an university hospital: @entity158 medication should be enlarged with the possibility to administer an opium-medication i.v. (non only s.c.) when needed (VAS > 3), which has been tested on two wards. The study shows the resulting changes of the intervention for @entity1 and nurses. For recording, there has been @entity1 questionnaires and document analysis before and after the new possibility to administer medication, and a nurses opinion survey. RESULTS: 110 resp. 125 @entity1 and 39 nurses have been interviewed. Although there were only few @entity1 (8%) during the second registration who did get the @entity1286 i.v., there were clear tendencies: More @entity1 have been asked about their @entity158 and recognized the visual analog scale (VAS) (p = 0.0004) and less @entity1 found, that they had to wait for a @entity158 -medicament too long. There was a significant reduction of maximal @entity158 (p = 0.02) and also a significant improvement of nursing @entity158 medication (p = 0.035). @entity158 and use of basis-analgesia were slightly reduced resp. improved with the intervention. Overall @entity1 -satisfaction regarding the treatment of their @entity158 was high in both groups (> 95%). Nurses found (88%), that the new possibility to administer the @entity1286 i.v. when needed, was good, even though this intervention and the controls of the vital signs requires more work. They said, that very often, it is worth the extra work, and for 31% of them, the focus on @entity158 became more important through the intervention. CONCLUSIONS: The enlargement to administer @entity158 medication and asking/registering @entity158 intensity regularly, created more sensitivity for the @entity1 's @entity158 -experience among nurses, and this lead to better use of the prescribed @entity158 medication and to better @entity158 management overall. Further quality-improvement in post-operative @entity158 relief seems possible by continuing on that way in the future.
