粤北地区二级甲等医院临床外科护士疼痛认知状况调查及对策分析

目的 调查粤北地区二级甲等医院临床外科护士疼痛认知状况,探讨有效管理对策。 方法 随机抽取粤北地区10所二级甲等医院的300名临床外科护士进行疼痛认知状况调查,分析护士的疼痛认知情况、疼痛培训需求情况以及对麻醉性镇痛药物成瘾可能性认知情况。 结果 粤北地区二级甲等医院临床外科护士疼痛认知平均得分(58.43 ± 5.66)分,及格率20.61%;护士疼痛培训需求率较高,其中疼痛评估技巧培训需求率最高,其次为疼痛药物治疗知识和疼痛心理干预技巧;护士对不同用药时间麻醉性镇痛药物成瘾可能性正确回答率较高,对不同类型麻醉性镇痛药物成瘾可能性正确回答率较低。 结论 粤北地区二级甲等医院临床外科护士疼痛认知状况有待提高,建议加强疼痛知识系统教育培训、规范护理操作标准、加强医护合作,以进一步提高疼痛护理质量。

Investigation on pain cognitive status of surgical nurses in grade-two class-A hospitals in northern Guangdong province and its countermeasures

Objective To investigate the pain cognition of surgical nurses in grade-two class-A hospitals in northern Guangdong province and explore effective management strategies. MethodsA total of 300 surgical nurses were randomly selected from 10 grade-two class-A hospitals and investigated on their pain cognition. Their pain cognition, needs for training and consciousness of addiction caused by anesthetic sedative medication were analyzed. Results The average score of pain cognition was(58.43 ± 5.66), with the passing rate of 20.61%. The nurses had high demands for training, among which the demand for pain assessment skills ranked first, followed by that for pain medication knowledge and psychological pain intervention skills. The nurses were not so conscious of addiction caused by anesthetic sedative medication. However, they knew more about the relationship between the addiction with the medication time than it with patients' age or the type of narcotic analgesics. Conclusions The pain cognition of the nurses needs to be improved.It is proposed to strengthen the systematic education of pain knowledge, standardize nursing skills and promote doctor-nurse cooperation, so as to further improve the quality of pain care.