摘要
目的:了解广州三甲医院新生儿科护士对疼痛认知和疼痛管理的现状。方法:借助"新生儿科护士疼痛管理知识和态度问卷(美国)"在广州市的5所三甲医院进行横断面调查。结果:102位新生儿科护士完成了问卷调查,87.25%的护士认为能够感知疼痛,46.08%的护士认为新生儿的疼痛阈值较儿童和成人低,37.25%的护士认为反复疼痛会对新生儿造成远期影响;60.78%的新生儿科室常规使用疼痛评估工具,25.49%的科室使用的新生儿疼痛评估工具能够如实反映患儿疼痛情况,33.33%的科室新生儿疼痛干预的效果明确,32%的护士相信非药物干预措施的止痛效果,34.31%的科室疼痛管理方案不够清晰详实,39.22%的护士赞成患儿的父母参与到疼痛管理中。结论:新生儿科护士对疼痛发生的普遍性和危害严重性意识不足,现有的新生儿疼痛评估尚不能满足临床实践的需要,护士对非药物的疼痛干预手段信心不足、科室的疼痛管理方案仍需进一步完善。
Objective： To investigate neonatal nurses＇ perceptions of knowledge and practice in pain assessment and management in Guangzhou. Methods： A cross-sectional study was conducted in Guangzhou with the instrument ＂neonatal nurses＇ knowledge and attitudes survey regarding pain＂. Results： A total of 102 neonatal nurses participated in the study. 87.25% nurses strongly agreed that neonates are capable of experiencing pain, 46.08% nurses strongly agreed neonates are more sensitive to pain than older children and adults, 37.25% nurses strongly agreed neonatal pain has long-term adverse effects; 60.78% nurses strongly agreed my unit uses a neonatal pain assessment tool regularly, 25.49% nurses strongly agreed the pain assessment tool in my unit is an accurate measure of neonatal pain, 33.33% nurses strongly agreed non-pharmacologic pain management is effective to manage neonatal pain, 34.31% nurses strongly agreed the pain management guidelines/protocols in my unit are clear and comprehensive, 39.22% nurses strongly agreed parents should be involved with the care and comfort of their infant during painful procedures. Conclusions： There is lack of knowledge on the epidemiology and consquence of neonatal pain management, the integration of pain assessment into daily practice still remains problematic, non-pharmacologic interventions were less frequently recognized as useful, gaps exist in knowledge and practice in neonatal pain management.
出处
《按摩与康复医学》
2017年第7期52-54,共3页
Chinese Manipulation and Rehabilitation Medicine
关键词
新生儿科
疼痛
护士认知
疼痛管理
三甲医院
广州
neonatal department
pain
cognition of nurses
pain management
the third grade hospital
Guangzhou
