护士在慢性疼痛管理中使用行为改变技术的挑战
Jasmine Heath Hearn1, Areeba Rafiq1, John Greenwood1,2
1School of Psychology, Manchester Metropolitan University, Manchester, UK.
Pain research & management
|August 18, 2025
概括
护士在慢性疼痛管理中使用行为改变技术 (BCT),但缺乏正式培训. 患者的复杂性和不足的支持阻碍了有效的BCT实施,需要加强培训和组织变化.
科学领域:
- 护理 护理 护理
- 行为科学 行为科学
- 疼痛管理 疼痛管理
背景情况:
- 患者对慢性疼痛管理建议的坚持是不理想的.
- 行为改变技术 (BCT) 可以提高参与度,但在实践中未得到充分利用.
研究的目的:
- 探索护士对使用BCT在慢性疼痛管理中的障碍和促进者的看法.
- 确定BCT目前是如何使用的,以及如何改进其应用.
主要方法:
- 与八名合格护士进行半结构面试.
- 进行反思性的专题分析,以确定关键主题.
主要成果:
- 护士可以直观地使用一些BCT,而不需要对特定技术有明确的了解.
- 患者因素 (医疗复杂性,疼痛信念,阿片类药物依赖) 和缺乏培训/监督阻碍BCT的使用.
- 出现了三个主题:在实践中嵌入的BCT,作为障碍的复杂性以及培训/监督需求.
结论:
- 加强BCT培训和临床监督是提高护士能力的必要条件.
- 建议进行组织变化,包括资源分配和实施策略,以支持有效的BCT利用.
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