住院患者疼痛评估的现状和挑战:一项跨部门研究
Xiaofeng Xu1, Hongxiu Chen2, Jing Xu3
1Department of General Surgery, Division of Vascular Surgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University/Innovation Center of Nursing Research and Nursing Key Laboratory of Sichuan Province, Chengdu, Sichuan, PR China.
概括
准确的疼痛评估仍然是护士面临的挑战,自我报告的做法与实际观察之间存在重大差异. 缺乏足够的知识和不良的协议遵守阻碍了标准化的疼痛评估,影响了患者的护理.
科学领域:
- 护理实践 护理实践
- 疼痛管理 疼痛管理
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 准确的疼痛评估对于有效的止痛干预至关重要,但面临着重大实施挑战.
- 了解影响疼痛评估实践的因素是改善患者治疗结果的关键.
研究的目的:
- 调查护士目前对住院患者的疼痛评估实践.
- 分析促进或抑制标准化疼痛评估实施的因素.
主要方法:
- 一项横截面调查,将78家医院1,050名护士的问卷数据与现场观察相结合.
- 评估疼痛评估,记录,干预和教育行为,使用验证的问卷和直接观察.
主要成果:
- 疼痛评估经常每天进行,由患者报告或干预后触发,常用数字评分表和非语言疼痛指标检查清单.
- 发现的差异:观察到的评估时间比报告的时间短,协议遵守和知识差距是重大障碍.
- 10.2%的护士没有询问具体的疼痛投诉,而18.4%的护士没有使用疼痛评估工具.
结论:
- 在护士自我报告和观察到的疼痛评估实践之间存在重大差异.
- 缺乏足够的护理知识和对协议的不严格遵守,阻碍了标准化的疼痛评估.
- 加强培训,明确的指导方针和机构支持对于标准化疼痛评估和改善患者结果至关重要.
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