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在血液透析治疗期间患者的疼痛评估:质量改善项目
Rita Rodrigues1,2, Cristina Costeira1,3,4
1School of Health Sciences of Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal.
Nursing reports (Pavia, Italy)
|June 26, 2024
概括
慢性病患者在血液透析期间经常经历疼痛. 实施标准化疼痛评估协议改善了葡萄牙诊所的护理和护士满意度.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 疼痛管理 疼痛管理
- 提高护理质量 提高护理质量
背景情况:
- 疼痛是慢性病 (CKD) 患者的常见和衰弱症状.
- 慢性瘤的疼痛通常与疾病的进展,并存的疾病和透析期间的不运动有关.
- 在血液透析期间有效的疼痛管理需要护士对疼痛进行彻底和一致的评估.
研究的目的:
- 在葡萄牙诊所接受血液透析的CKD患者经历的疼痛的特征.
- 实施策略,以加强在血液透析期间的CKD患者的疼痛评估过程.
- 评估护士对新实施的疼痛评估策略的满意度.
主要方法:
- 一个质量改进项目,分三个阶段进行:诊断研究,协议实施和护士满意度评估.
- 这项研究涉及75名CKD患者和葡萄牙血液透析病房的13名护士.
- 收集了关于患者疼痛特征和护士对新疼痛评估协议的满意度的数据.
主要成果:
- 64%的患者每天报告中度慢性疼痛,48%的患者在血液透析治疗期间经历疼痛.
- 护士们高度评价了疼痛评估协议的重要性.
- 护士对实施的策略的平均满意度为7.92分之10.
结论:
- 通过实施协议来标准化疼痛评估,可以显著改善血液透析环境中的患者护理.
- 实施的协议得到了护士们的好评,这表明了提高工作满意度的潜力.
- 这项质量改进倡议强调了结构化疼痛评估在治疗中治疗慢性病患者不适时的重要性.
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