Objective To explore the method and effect of teaching rounds for postoperative analgesia in patients receiving joint surgeries for enhanced recovery after surgery (ERAS).Methods Eighty bachelor students majoring in anesthesiology during their internship were enrolled and randomly allocated to teaching rounds group (n1=40) and conventional teaching group (n2=40), students feedback, test scores for postoperative analgesia and patients' satisfaction were evaluated.Results Compared with students in conventional teaching group, those in teaching rounds group reported more positive feedback with respect to active learning will, mastering in skills and concepts of postoperative analgesia, more test scores and patients' satisfaction scores.Conclusions Teaching rounds for postoperative analgesia in patients receiving joint surgery in the context of enhanced recovery after surgery could improve active learning will and knowledge mastering of the students and also patients' satisfaction.
Peng Lihua
,
Min Su
. Implementation and evaluation of teaching innovation as clinical rounds for postoperative analgesia[J]. Chinese Journal of Medical Education, 2017
, 37(5)
: 729
-732
.
DOI: 10.3760/cma.j.issn.1673-677X.2017.05.020
[1] Lin CC. Applying the American Pain Society's QA standards to evaluate the quality of pain management among surgical, oncology, and hospice inpatients in Taiwan[J]. Pain, 2000, 87(1): 43-49.
[2] Chou R, Gordon DB, de Leon-Casasola OA, et al. Management of postoperative pain: a clinical practice guideline from the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia, Executive Committee, and Administrative Council[J]. J Pain, 2016, 17(2): 131-157. DOI: 10.1016/j.jpain.2015.12.008.
[3] Upp J, Kent M, Tighe PJ. The evolution and practice of acute pain medicine[J]. Pain Med, 2013, 14(1): 124-144. DOI: 10.1111/pme.12015.
[4] 中华医学会麻醉学分会. 中国麻醉学指南与专家共识[M]. 2014版. 北京: 人民卫生出版社, 2014: 294-304.
[5] 冉素娟, 李秋, 李廷玉, 等. 案例为基础的临床教学查房模式改革的实践研究[J]. 重庆医学, 2012, 41(8): 823-825. DOI: 10.3969/j.issn.1671-8348.2012.08.041.
[6] Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation[J]. Br J Anaesth, 1997, 78(5): 606-617.
[7] Horosz B, Nawrocka K, Malec-Milewska M. Anaesthetic perioperative management according to the ERAS protocol[J]. Anaesthesiol Intensive Ther, 2016,48(1):49-54. DOI: 10.5603/AIT.2016.0006.
[8] Peng L, Ren L, Qin P, et al. Continuous femoral nerve block versus intravenous patient controlled analgesia for knee mobility and long-term pain in patients receiving total knee replacement: a randomized controlled trial[J]. Evid Based Complement Alternat Med, 2014, 2014:569107. DOI: 10.1155/2014/569107.
