文章摘要
王志红,乐汉娥,刘文杰,陈敏,胡晓艳.疼痛护理在骨科护士分层培训中的应用及效果研究.骨科,2015,6(1):45-48,52
疼痛护理在骨科护士分层培训中的应用及效果研究
Applied effect of pain care in orthopedic nurse stratified training
投稿时间:2014-07-29  
DOI:10.3969/j.issn.1674-8573.2015.01.013
中文关键词: 创伤骨科  疼痛  护理干预  护士  分层培训
英文关键词: Orthopaedic trauma  Pain  Nursing intervention  Nurse  Stratified training
基金项目:
作者单位E-mail
王志红 430033 武汉华中科技大学同济医学院附属普爱医院骨科 13476033528@163.com 
乐汉娥 430033 武汉华中科技大学同济医学院附属普爱医院骨科  
刘文杰 430033 武汉华中科技大学同济医学院附属普爱医院骨科  
陈敏 430033 武汉华中科技大学同济医学院附属普爱医院骨科  
胡晓艳 430033 武汉华中科技大学同济医学院附属普爱医院骨科  
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中文摘要:
      目的 探讨疼痛护理在骨科护士分层培训中的应用及效果。方法 选取我院144名护理人员参加骨科疼痛护理分层培训,考核合格的护士对我科288例患者进行疼痛教育及护理干预。培训前后均以问卷的形式对护士及患者进行调查,通过患者对疼痛程度的判断及满意度、护理人员疼痛知识和技能的改变来观察培训的效果。结果 通过疼痛护理分层培训,各级护士在疼痛理论知识及疼痛护理技能方面都有明显提升,其中N0级、N1级、N2级护士培训后较培训前差异均有显著统计学意义(均P<0.01),N3级、N4级护士较培训前差异均有统计学意义(均P<0.05)。在“出现疼痛马上通知”这一条目的比较上,培训后患者的比例较培训前稍有增加,但差异无统计学意义(P>0.05)。而在其他方面,培训后患者对疼痛知识的认知情况明显好于培训前,差异均有显著统计学意义(均P<0.01)。培训前患者的疼痛分级指数(pain rating index, PRI)评定中感觉项与情感项的总分、疼痛视觉模拟量表(visual analogue scale, VAS)得分及疼痛现有强度(present pain intensity, PPI)评定基本属于中重度或难以忍受的疼痛,培训后的评分基本属于轻度或稍有不适的疼痛,培训后患者对疼痛的控制满意度较培训前明显提升,差异均有显著统计学意义(均P<0.01)。结论 通过疼痛护理在骨科的分层培训拓宽了护士们的视野,提高了护士解决问题的能力,增长了经验,同时患者又能享受到优质的疼痛护理服务,能正确对待疼痛,提高了患者对疼痛的控制能力以及对医护人员的满意度,推动了骨科无痛病房模式的改进。
英文摘要:
      Objective To explore the applied effect of the pain nursing care in the nurse hierarchical training of orthopaedics. Methods 144 nurses from our hospital were chosen to take part in the nurse hierarchical training of the pain nursing care of orthopaedics, then the pain education and nursing intervention were carried out on 288 patients in our department by the nurses who had passed the examination of training. The investigation was done in the form of questionnaire for nurses and patients both before and after the training, the effect of the training was observed through the patients' judgment of pain and their satisfaction, and the changes of pain knowledge and skills of the nurses were analyzed. Results The pain knowledge and skills of the nurses at different levels were significantly improved, those in the nurses of N0, N1, and N2 levels after the training showed very significant difference before and after training (P<0.01), and those in the nurses of N3 and N4 levels after the training showed significant difference before and after training (P<0.05). On the item of the “pain notification as soon as possible”, the proportion of the patients increased slightly after training, but there was no statistically significant difference (P>0.05). In other aspects, cognitive situation of pain knowledge of the patients after training was much better than that before training (P<0.01). The total scores of the items of feeling and emotion of PRI, VAS and PPI belonged to moderately severe or unbearable pain before the training, and the scores basically belonged to the light or slight discomfort or pain after training. The analgesia-controlled satisfaction was significantly improved in the patients after training (P<0.01). Conclusion The nurse hierarchical training of the pain nursing care of orthopaedics broadens the vision of nurses, their ability to solve the problems was improved, and their experience was increased. At the same time, patients can enjoy the pain nursing service quality, and can correctly treat the pain. The analgesia-controlled satisfaction of the patients was improved.
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