摘要
目的通过提升肿瘤科临床护士的疼痛管理理念,减轻患者疼痛,提高肿瘤患者满意度,缩短患者住院时间。方法开展肿瘤日间无痛病房护理工作模式,加强临床护士疼痛管理理念、疼痛评估及干预的培训,进行临床护士疼痛评估、疼痛知识、镇痛药物知识、疼痛认知的综合应用指标的培训前后考核,及患者满意度与平均住院时间调查,比较开展无痛病房管理模式后的临床护理效果。结果无痛病房开展后,护士在疼痛评估、疼痛知识、镇痛药物知识、疼痛认知的综合应用4个指标的得分为(12.63±1.06)分,高于未开展无痛病房之前,差异有统计学意义(P<0.05);患者满意度为96.6%,高于实施前;患者平均住院时间(6.95±1.42)d,较无痛病房开展前明显缩短,差异有统计学意义(P<0.05)。结论肿瘤日间病房实施规范化的疼痛管理,在提高了肿瘤科护士的疼痛管理知识、技能的同时,提高了肿瘤患者的疼痛控制质量,提高了患者的生存质量,患者得到了优质的无痛护理服务,缩短了患者平均住院时间。
Objective To alleviate patients＇ pain, improve patients＇ satisfaction and shorten their length of stay. Methods The nursing model was established in oncology painless day unit. Trains of pain management, pain evaluation and intervention were provided for clinical nurses and nurses were tested before and after the training. Meanwhile, the investigation of patients＇ satisfaction and mean length of stay was conducted. Results Nurses got higher scores in pain evaluation, pain knowledge, analgesia agent knowledge and pain cognition （P〈O.05）. Patients were more satisfied and their length of stay were distinctly shortened after the implementation of day unit （P〈0.05）. Conclusion Standardized pain management in oncology day unit benefits both the improvement of clinical nurses＇ pain management and skills and the improvement of patients＇ life quality. Quality painless nursing service is provided for patients and there is shorter length of stay of patients.
出处
《护理学报》
2012年第22期10-12,共3页
Journal of Nursing（China）
