ISSN 1672-9234　CN 11-5289/R
主管：中国科学技术协会　主办：中华护理学会
出版：中华护理杂志社
收录：中国科学引文数据库（CSCD）来源期刊
　　　中国期刊全文数据库
　　　中国核心期刊（遴选）数据库
　　　中文科技期刊数据库
中华护理教育

中华护理教育 ›› 2019, Vol. 16 ›› Issue (2): 98-100.doi: 10.3761/j.issn.1672-9234.2019.02.004

• 肿瘤护理专题 • 上一篇    下一篇

癌痛规范化治疗示范病房护士癌痛评估规范性的调查研究

邓雅梅,骆惠玉(),何晓华,柯熹,朱虹玉   

  1. 350000 福州市 福建医科大学护理学院（邓雅梅，朱虹玉）;福建省肿瘤医院（骆惠玉,何晓华,柯熹）
  • 收稿日期:2018-07-26 出版日期:2019-02-20 发布日期:2019-03-18
  • 通讯作者: 骆惠玉
  • 作者简介:邓雅梅:女,本科（硕士在读）,E-mail: 364148630@qq.com

A survey of standardization of cancer pain assessment by nurses in good pain management ward

Ya-mei DENG,Hui-yu LUO(),Xiao-hua HE,Xi KE,Hong-yu ZHU   

  • Received:2018-07-26 Online:2019-02-20 Published:2019-03-18
  • Contact: Hui-yu LUO

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摘要：

目的 了解癌痛规范化治疗示范病房护士癌痛评估规范性的现状。方法 从福建省、江苏省、浙江省、河南省及广西壮族自治区6所三级甲等医院癌痛规范化治疗示范病房抽取2017年6月—9月住院的479例癌痛患者病历,采用自设的“癌痛评估评价项目和计分标准”对病历中的疼痛评估状况进行评价。 结果 479份病历中,410（85.59%）份病历癌痛评估合格,69（14.41%）份病历癌痛评估不合格;癌痛评估各维度标准化得分分别为:常规评估（98.80±8.85）分、量化评估（99.48±5.09）分、全面评估（93.57±14.12）分、动态评估（92.41±16.15）分;不同学历、职称、工作年限护士的疼痛评估合格率有差异（P<0.05）。结论 癌痛规范化治疗示范病房中护士对癌痛患者进行癌痛评估的合格率较高,要注意加强护士全面、动态地进行癌痛评估的能力,学历较高（本科及以上学历）、职称较高、工作年限较长的护士能够更规范地进行癌痛评估。

关键词: 肿瘤科,医院, 疼痛管理, 规范

Abstract:

Objective To investigate the current status of standardization of cancer pain assessment by nurses in good pain management ward. Methods Totally 479 medical records from June to September 2017 were selected from the good pain management ward of 6 hospitals from Fujian,Jiangsu,Zhejiang,Henan provinces and Guangxi Zhuang Autonomous Region. The self-developed questionnaire entitled “Evaluation Form of Cancer Pain Assess-ment” was used to evaluate the standardization of pain assessment recorded in those medical records. Results Among 479 medical records,410（85.59%）recorded standardized pain assessment satisfactorily. However,69（14.41%） records did not meet the standardization criteria. The standardization scores of each dimension were 98.80±8.85 for regular assessment,99.48±5.09 for quantitative assessment,93.57±14.12 for comprehensive assessment,and 92.41±16.15 for dynamic assessment. Nurses with different education degrees,titles,and working years had significantly different assessment qualification rates（P<0.05）. Conclusion Nurses in the good pain management ward have a higher standardization rate of cancer pain assessment.Nurses’ ability of assessing the pain comprehensively and dynamically should be improved. Those nurses with higher education degree（bachelor or above）,titles,and working years can perform more standardized pain assessment for cancer patients.

Key words: Oncology Service,Hospital, Pain Management, Benchmarking