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我国三甲医院护士疼痛评估循证护理实践横断面调查

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目的 探讨我国护士疼痛评估循证护理实践现状,通过开展疼痛评估循证护理实践,以期为最大限度缓解患者疼痛提供决策数据。方法 采用非概率抽样法,在全国63所三甲医院开展线上匿名调查。问卷包括一般资料调查表及疼痛评估循证护理实践量表。其中疼痛评估循证护理实践量表包括疼痛筛查、全面疼痛评估、疼痛评估中与患者及家属的交流、疼痛再评估、疼痛评估工具的选用及记录,5个维度采用条目均分进行比较,使用SPSS26。0进行数据分析。结果 回收问卷1 518份,其中有效问卷1 482份,有效回收率97。62%。护士疼痛评估循证护理实践得分(108。40±17。96)分,疼痛筛查(12。87±2。23)分,条目均分最高(4。29±0。74)分,与患者及家属的交流(23。69±4。93)分,条目均分最低(3。94±0。82)分。回归分析显示:是否接受疼痛培训、是否区分活动性疼痛和静息性疼痛对实践行为有正向影响(P<0。05)。结论 我国部分三甲医院护士疼痛评估循证护理实践处于中上水平,但对患者及家属的交流较缺乏,管理者应不断丰富培训内容和方式,引导护士加强护患沟通。
A cross-sectional survey on evidence-based nursing practice for pain assessment by nurses in China's class 3A hospitals
Objective To explore the current situation of evidence-based nursing practice in pain assess-ment by nurses in China to provide the decision-making data for maximizing to relieve the patient pain by car-rying out the pain assessment evidence-based nursing practice.Methods The non-probability sampling meth-od was used to conduct an online anonymous survey in 63 class 3A hospitals in the whole country.The ques-tionnaire included the general information questionnaire and evidence-based nursing practice scale for pain as-sessment.The evidence-based nursing practice scale for pain assessment included the pain screening,compre-hensive pain assessment,exchange with the patients and their households in the pain assessment,pain re-as-sessment,pain assessment tool selection and record.The 5 dimensions were compared by using item equaliza-tion.The data analysis was performed by the SPSS26.0.Results A total of 1 518 questionnaires were recov-ered,in which 1 482 questionnaires were valid with an effective recovery rate of 97.62%.The evidence-based nurse practice of pain assessment by nurse was(108.40±17.96)points,the pain screening was(12.87±2.23)points,the item average score was the highest[(4.29±0.74)points],the communication with the patients and their household was(23.69±4.93)points and the item average score was the lowest[(3.94±0.82)points].The regression analysis showed that whether receiving the pain training and whether distinguishing active pain and resting pain had a positive effect on the practical behavior(P<0.05).Conclusion The evi-dence-based nursing practice in pain assessment by nurses in the partial class 3A hospitals in China is in the upper medium level.However,the communication between the patients and their families is insufficient.Man-agers should constantly enrich the training content and methods,and guide nurses to strengthen the communi-cation between nurses and the patients.

nursepainassessmentevidence-based nursingcross sectional survey

刘芳、吴英、王丹丹、胡冉、谢君蓉

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陆军军医大学第一附属医院肝胆外科,重庆 400038

护士 疼痛 评估 循证护理 横断面调查

2024

重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
年,卷(期):2024.53(1)
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