护士PainPrevent:一项前性观察性研究,研究了床上洗期间的疼痛
Bénédicte Lombart1, Patricia Cimerman2, Céline Guiot3
1Coordination des Soins, Hôpital Saint-Antoine, Assistance Publique-Hôpitaux de Paris (APHP), Paris, France.
概括
床上洗往往会在住院患者中引起中度至严重的疼痛. 疼痛管理和评估不足,突出需要改进护理护理策略.
科学领域:
- 护理 护理 护理 护理
- 疼痛管理 疼痛管理
- 患者的舒适性 患者的舒适性
背景情况:
- 床上洗是一种常见的护理程序,与患者的不适有关.
- 床上洗期间疼痛的频率和强度没有得到充分的记录.
- 这项研究旨在评估一般医院患者在床上洗时的疼痛.
研究的目的:
- 为了前性地评估与床上浴相关的疼痛的发生率和严重程度.
- 在日常护理护理过程中识别疼痛评估和管理的差距.
- 为改善住院期间患者舒适度的策略提供信息.
主要方法:
- 展望观察性研究涉及5家医院23个单位的166个床位浴室.
- 八名外部调查人员使用了经过验证的疼痛评估尺度,根据患者的情况量身定制.
- 数据收集的重点是疼痛评分,止痛药的使用,疼痛评估方法和非药物干预措施.
主要成果:
- 专家观察员对48%的患者在床上洗时评价了中度至严重的疼痛.
- 超过51%的患有疼痛的患者没有接受预防性止痛药.
- 只有7.2%的患者使用了验证的疼痛量表评估,尽管护理人员关注舒适度 (85%的口头指导,84.3%的适应触摸/节奏).
结论:
- 床上洗经常会引起中度至严重的疼痛,这表明患者的护理问题很重要.
- 目前在床上洗期间评估疼痛和给予止痛药的做法是不够的.
- 需要在疼痛评估,止痛,非药物方法和动员技术方面进行改进,以提高患者的舒适度.
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