为什么初级护理人员没有报告儿科疼痛:一项定性研究
Qiao Shen1, Xiaoqiong Wei2, Dong Roman Xu3
1Department of Nursing, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Children and Adolescents' Health and Diseases, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Child Neurodevelopment and Cognitive Disorders, Chongqing, 400014, China.
International journal of nursing studies
|January 31, 2026
概括
护理人员通常不会报告儿科疼痛,原因是复杂的心理和环境因素,而不是简单的疏忽. 了解这些机制是改善儿童疼痛管理的关键.
科学领域:
- 儿科医疗保健服务 儿科医疗保健服务
- 疼痛管理 疼痛管理
- 护理人员心理学 护理人员心理学
背景情况:
- 在东亚医院,家庭护理人员对于识别和报告儿科疼痛至关重要.
- 没有报告疼痛导致不充分的干预和长时间的痛苦.
- 不报告背后的心理因素是不太了解的.
研究的目的:
- 探索为什么主要护理人员未能向医疗保健提供者报告儿科疼痛.
- 专注于儿童疼痛报告的决策过程和影响因素.
主要方法:
- 定性描述性研究设计.
- 在中国重庆市的三级儿科医院进行.
- 与17名初级护理人员进行半结构面试,使用受保护动机理论指导的定向内容分析进行分析.
主要成果:
- 护理人员不报告儿科疼痛是一个动态的过程,涉及注意力,威胁和应对评估.
- 这些因素包括注意力过,低估疼痛威胁,对疼痛耐受性的信念,以及对报告有效性的怀疑.
- 个人特征,以前的经验和环境因素 (例如说服力,观察学习,医疗保健限制) 影响报告决策.
结论:
- 没有报告儿科疼痛是一个复杂的认知和上下文过程,而不是遗漏.
- 受信念和环境影响的注意力脱节和有偏见的评估,抑制了报道.
- 研究结果为改善护理人员关于儿科疼痛的认识和沟通的干预提供了基础.
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