ICU護(hù)士對危重患者疼痛護(hù)理相關(guān)知識與實(shí)踐現(xiàn)狀的分析
發(fā)布時間:2018-06-02 01:54
本文選題:重癥監(jiān)護(hù)病房 + 護(hù)士 ; 參考:《中華護(hù)理雜志》2014年03期
【摘要】:為了了解ICU護(hù)士對危重患者疼痛相關(guān)知識的掌握與實(shí)踐現(xiàn)狀,對某三級甲等醫(yī)院129名ICU護(hù)士進(jìn)行了調(diào)查。結(jié)果顯示,ICU護(hù)士疼痛知識與態(tài)度調(diào)查平均正確率為35.2%;參加過疼痛學(xué)習(xí)班、有疼痛處理經(jīng)驗者回答正確率較高(P0.05)。大多數(shù)ICU護(hù)士(76.7%)使用過疼痛強(qiáng)度評估量表,但無人使用過行為觀察疼痛評估工具。ICU護(hù)士選擇最能代表危重患者存在疼痛的行為是痛苦表情(66.7%)、皺眉(48.8%)和握緊拳頭(46.5%)等。ICU護(hù)士認(rèn)為積極的ICU團(tuán)隊、標(biāo)準(zhǔn)化疼痛評估工具及持續(xù)疼痛教育等是危重患者疼痛護(hù)理的重要促進(jìn)因素,患者不能交流、缺少疼痛指南及評估工具、工作量大等是主要障礙因素。應(yīng)強(qiáng)化對ICU護(hù)士的疼痛教育,鼓勵應(yīng)用行為指征對危重患者進(jìn)行疼痛評估,營造良好的疼痛治療護(hù)理環(huán)境,持續(xù)改進(jìn)疼痛護(hù)理質(zhì)量。
[Abstract]:In order to understand the knowledge and practice of ICU nurses on the pain related knowledge of critical patients, 129 ICU nurses in a three grade a hospital were investigated. The results showed that the average correct rate of pain knowledge and attitude of ICU nurses was 35.2%, and those who participated in the pain learning class and those who had pain treatment experience had a higher correct rate (P0.05). Most of the ICU Nurses (76.7%) used the pain intensity assessment scale, but the unused behavior observation pain assessment tool.ICU nurses selected the most critical patients to represent painful expressions (66.7%), frowning (48.8%) and clenched fist (46.5%) as a positive ICU team, standardized pain assessment tools and continuous pain teaching. Education and so on is an important factor in the pain care of critical patients. Patients can not communicate, lack of pain guide and assessment tools, and the heavy workload is the main obstacle. We should strengthen the education of pain in ICU nurses, encourage the application of behavior to assess the pain of critically ill patients, make good pain treatment and nursing environment, and improve the pain continuously. Quality of care.
【作者單位】: 南方醫(yī)科大學(xué)珠江醫(yī)院護(hù)理部;
【基金】:南方醫(yī)科大學(xué)優(yōu)秀中青年科技人才庫項目資助
【分類號】:R473
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