护士对患有痴呆症的住院患者的疼痛管理实践的知识和信念:一种定性描述性研究
Beverly Ingelson1, Sherry Dahlke1, Hannah O'Rourke1
1Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
Journal of clinical nursing
|April 9, 2024
概括
由于知识差距,耻辱和偏见,护士在治疗痴呆症住院患者 (PLWD) 的疼痛方面面临挑战. 解决这些问题对于改善护理质量和患者结果至关重要.
科学领域:
- 老年学是指老年学的学科.
- 护理科学 护理科学
- 痴呆症护理 痴呆症护理 痴呆症护理
背景情况:
- 有效的疼痛管理对于住院患有痴呆症的人来说至关重要.
- 护士的感知和实践显著影响PLWD的疼痛管理结果.
- 在PLWD中评估和管理疼痛,由于认知和沟通障碍,存在独特的挑战.
研究的目的:
- 探索护士对住院PLWD患者疼痛管理的知识,信念和经验.
- 在这个人群中确定影响护士疼痛管理实践的因素.
主要方法:
- 使用自然主义调查的定性描述性设计.
- 半结构面试与急症护理医院的12名注册护士进行.
- 内容分析用于识别护士经验中的关键主题.
主要成果:
- 两个主要主题出现了:即兴疼痛评估和管理犹.
- 护士报告说,在评估疼痛方面存在挑战,特别是在非语言性PLWD或那些有反应性行为的人中.
- 护士的经验,痴呆症的耻辱和无意识的偏见被发现会影响疼痛管理实践.
结论:
- 知识缺陷,负面信念,痴呆症的耻辱和无意识的偏见有助于在住院治疗的PLWD患者管理不善的疼痛.
- 需要一个全面的战略来解决护士的知识差距,偏见和耻辱感.
- 改善疼痛管理提高了生活质量,减少了住院时间,并防止了PLWD的再入院.
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