释放初级护理护士在慢性疼痛管理中的潜力:一项德尔菲研究以确定优先活动
Andréanne Bernier1, Marie-Eve Poitras2, Marie-Dominique Poirier2
1Université du Québec en Abitibi-Témiscamingue (UQAT), Rouyn-Noranda, Quebec, Canada.
概括
初级护理护士和慢性疼痛患者确定了治疗疼痛的关键护理活动. 优先考虑评估,护理和协作,提高护士在初级保健机构中的角色.
科学领域:
- 护理 护理 护理
- 主要护理是指初级护理.
- 疼痛管理 疼痛管理
背景情况:
- 慢性疼痛 (CP) 是一种严重的全球性残疾,通常因有限的初级保健服务而加剧.
- 慢性病管理的护理活动没有明确的定义,这阻碍了护士在慢性病护理中的全部潜力.
研究的目的:
- 确定和优先考虑必要的护理活动,以便在初级保健中有效管理慢性疼痛.
- 定义护理实践在治疗慢性疼痛患者的范围.
主要方法:
- 一项为期三轮的德尔菲研究,涉及48名初级护理护士和加拿大北克的122名慢性疼痛患者 (3个月以上).
- 参与者通过使用开放式问题和9分利克尔特等级确定并评价护理活动的重要性.
- 75%以上的参与者评价为7-9的活动被视为优先活动.
主要成果:
- 参与者在47个已识别的护理活动中,有41个被优先考虑.
- 这些活动分为四个领域:全球评估 (36.6%),护理管理 (24.4%),健康促进 (17.1%) 和专业间合作 (22.0%).
- 最优先的活动包括疼痛经验评估,情绪障碍查和建立治疗联盟.
结论:
- 在护士和患者之间就慢性疼痛管理的关键护理活动达成共识.
- 这些发现支持将定义的护理角色整合到初级保健中,以更好地管理慢性疾病.
- 这项研究为提高护理对慢性疼痛护理贡献的临床指导方针提供了基础.
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