摘要
目的分析四川省55所二级甲等及以上医院癌痛规范化治疗示范病房癌痛护理现状及相关影响因素。方法 4名研究人员对四川省55所二级甲等及以上医院,采用现场评价的方法调查癌痛护理质量现况,分析其影响因素。结果 55所医院癌痛护理质量标准化得分为:癌痛健康教育(88.63±8.56)、癌痛专业培训(90.32±9.03)、癌痛护理技术(65.56±3.87)、癌痛随访(69.24±6.02),其中,癌痛护理技术和癌痛随访质量得分较低。癌痛护理缺陷发生率高的项目为癌痛随访落实(25.91%),癌痛动态评估及记录(25.39%),癌痛个体化专业化措施(20.73%)。多元线性回归分析提示护士癌痛专业知识考核得分、医院等级、项目负责人类型是癌痛护理质量的影响因素(P<0.05)。结论随着癌痛规范化治疗示范病房的推进,护理在癌痛管理中发挥了重要作用,癌痛专业培训和健康宣教工作开展较好,但癌痛随访、癌痛护理技术等却较差,癌痛护士专业知识考核得分仍是癌痛护理质量的重要影响因素。建议级别较低的医院更应重视癌痛专业人员的培养和癌痛规范化治疗项目的推动。
Objective To explorethe current situation and its influencing factors of nursing for cancer pain in demonstration wards for the standardized cancer pain management from 55 hospitals in Sichuan Province. Methods A total of 4 nursing experts went to 55 hospitals in Sichuan Province,assessed their nursing quality and explored its influencing factors during 2013 to 2014. Results The scores of patient education,professional training on cancer pain,nursing skills,and follow-up service were 88.63±8.56,90.32±9.03,65.56±3.87 and 69.24±6.02.The scores of nursing skills and follow-up service were lower significantly than those of the other 2 dimensions（F=18.324,P=0.003）. The top 3 nursing defects were follow-up service（25.91%）,dynamic assessment and records （25.39% ） , and specialized nursing measures （20.73%）.With the result of multiple linear regression analysis,the influencing factors on pain nursing quality were scores on professional test（P=0.026）,grade of hospitals（P=0.030）and leader＇s position（P=0.047）. Conclusion Nurses had played key roles in pain management,but their performance in follow-up service and specialized cancer pain nursing was unsatisfactory. Pain knowledge of nurses was an important influencing factor of nursing quality.So low grade hospitals should pay attention to providing continuing education about cancer pain,including promoting standardized cancer pain management programs,which cancer pain specialists were responsible for.
出处
《中华护理杂志》
CSCD
北大核心
2016年第4期424-428,共5页
Chinese Journal of Nursing
基金
四川省卫生厅科研课题(130222)
关键词
癌症
癌痛管理
护理
Cancer
Cancer Pain Management
Nursing
