中国三级甲等医院儿科护士疼痛管理循证实践横断面调查

发布时间：2018-07-27 19:29

【摘要】：目的了解中国三级甲等医院儿科护士疼痛管理循证实践现状,为针对性改善儿科护士循证式疼痛管理行为提供基础数据。方法在中国七个行政区域选取14所三级甲等专科儿童医院和7所三级甲等综合医院(儿科床位数200张以上)作为调查医院,以从事儿科护理的工龄满1年的护士为调查对象。采用自制《一般资料问卷》和中文版《卡尔森循证式疼痛管理先决条件量表》(C-CPCIS)进行调查,计算C-CPCIS总分和分量表得分,考察影响总量表得分的影响因素。结果 2 983名护士参与了C-CPCIS调查,全部回收,有效问卷2 875份(96.3%)。专科儿童医院2 495份,综合医院儿科380份。其中女性占98.6%,平均年龄30.2(20~55)岁,平均从事儿科护理工作8.4(1~35)年,儿内科占31.2%,本科学历71.7%,护师职称占47.9%,有护士长管理经验者占9.1%,有疼痛知识培训经历占18.9%,常规评估疼痛占73.4%,使用最多的疼痛评估工具是Wong Baker面部表情量表(60.9%)。C-CPCIS总条目得分为3.26±1.14,既往实践、疼痛需求/问题、创新、工作规范4个分量表得分分别为3.68±1.28、2.70±1.001、3.06±1.09、3.24±1.09;条目16、19、12得分较低,分别为2.11±0.90、2.20±1.23和2.27±0.93。多元线性回归显示,量表总得分与职称(β=0.077)、科室(β=0.160)、医院类型(β=0.100)、是否常规评估疼痛(β=-0.209)、有无护士长经历(β=-0.102)、有无疼痛学习经历(β=-0.125)有关。结论目前国内儿科护士疼痛管理循证实践水平较低,今后应针对性地采取干预措施,提高儿科护士循证式疼痛管理水平。
[Abstract]:Objective to understand the current situation of evidence-based pain management of pediatric nurses in Grade 3A Hospital in China, and to provide basic data for improving evidence-based pain management behavior of paediatric nurses. Methods 14 Grade 3A specialized children's hospitals and 7 Grade 3A general hospitals (more than 200 paediatric beds) were selected as investigation hospitals in seven administrative regions of China. Nurses who had been engaged in paediatric nursing for more than one year were investigated. The self-made General Information questionnaire and the Chinese version of the Carson Evidence-Based pain Management prerequisite scale (C-CPCIS) were used to investigate the total score and sub-scale score of C-CPCIS and to investigate the influencing factors on the score of the total scale. Results 2 983 nurses took part in C-CPCIS survey, all of them were collected, and 2 875 effective questionnaires (96. 3%) were obtained. There were 2 495 specialized children's hospitals and 380 pediatrics in general hospitals. Of these, 98.6 were women, with an average age of 30.2 (2055) and an average of 8.4 (135) years of paediatric nursing. Department of pediatric medicine accounted for 31.2%, bachelor's degree was 71.7%, nursing professional title was 47.9%, head nurse management experience was 9.1, pain knowledge training experience was 18.9 and routine pain assessment was 73.4.The most commonly used pain assessment tool was Wong Baker facial expression scale (60.9%) .C-CPCIS total entry. The score was 3.26 卤1.14. The scores of pain demand / problem, innovation and work standard were 3.68 卤1.28 卤2.70 卤1.001 and 3.06 卤1.09 卤3.24 卤1.09 respectively, and the scores of item 16 were lower (2.11 卤0.90) 2.20 卤1.23 and 2.27 卤0.93 respectively. Multiple linear regression analysis showed that the total score of the scale was related to professional title (尾 0.077), department (尾 0.160), type of hospital (尾 0.100), routine assessment of pain (尾 -0.209), experience of head nurse (尾 -0.102), and learning experience of pain (尾 -0.125). Conclusion the level of evidence-based pain management of pediatric nurses in China is low at present. Intervention measures should be taken in the future to improve the level of evidence-based pain management of pediatric nurses.
【作者单位】：重庆医科大学附属儿童医院护理部;
【基金】：2013-2014年度国家临床重点专科建设项目(临床护理):国卫办医涵(2013)544号 2016年重庆市卫生和计划生育委员会重点项目:2016ZDXM016
【分类号】：R473.72

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