轮班工作对疼痛识别的影响,是重症监护护士之间强大的能力
Laura Schmidt1, Sara Zabelberg2, Sophie Schlatter1,3
1Université Claude Bernard Lyon 1, Research on Healthcare Performance RESHAPE, INSERM U1290, Lyon, France.
European journal of pain (London, England)
|July 12, 2023
概括
护士的疼痛同理心在轮班中通常很强大,但嗜睡会对疼痛识别产生负面影响. 增加对疼痛的敏感性可能发生在工作时间,强调了医疗保健专业人员需要充分的休息.
科学领域:
- 医学研究 医学研究
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
背景情况:
- 疼痛同理心对于有效的患者护理至关重要.
- 医院轮班工作对疼痛同情感的影响需要进一步调查.
- 了解护士检测和评估疼痛的能力至关重要.
研究的目的:
- 评估护士早期的潜意识能力,以检测面部表情中的疼痛.
- 调查日夜班期间如何评估疼痛强度.
- 探索轮班工作和嗜睡对疼痛感知的影响.
主要方法:
- 来自心脏病儿科重症监护室的21名护士参加了这次活动.
- 护士们执行了潜意识疼痛检测和意识疼痛强度评估任务.
- 睡眠,嗜睡和同情度被测量在12小时的白天和夜间班次之前和之后.
主要成果:
- 疼痛识别准确度和灵敏度保持稳定,灵敏度在换班后增加.
- 意识疼痛强度评级在所有班次中都是一致的.
- 夜班后增加的嗜睡与准确性有负相关,与之前的夜班有正相关.
结论:
- 面部疼痛表情判断在很大程度上不受转班类型的影响.
- 个体因素,如嗜睡,显著干扰疼痛的识别.
- 在工作时间内,疼痛敏感性可能会增加,睡眠不足会影响疼痛评估.
相关概念视频
Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K
Guidelines for Nursing Documentation II
1.1K
Effective documentation is an integral part of nursing practice. Here are some essential guidelines to follow when documenting patient care:
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
1.1K
Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response
92
Circadian rhythms are cyclic changes that are crucial in plasma drug concentrations. Various standard circadian parameters, including core body temperature, heart rate, and other cardiovascular factors, directly impact disease states and the therapeutic response to drug therapy.
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
92
Current Trends in Nursing I
1.5K
Current trends in nursing include:
1.5K
Peripheral Artery Disease V: Postoperative Nursing Management
12
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
12
Analgesia and Pain Management
665
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
665


