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护士在术后疼痛优化治疗中所感知到的障碍。

Barriers Perceived by Nurses in the Optimal Treatment of Postoperative Pain.

作者信息

Medrzycka-Dabrowka Wioletta, Dąbrowski Sebastian, Gutysz-Wojnicka Aleksandra, Gawroska-Krzemińska Aleksandra, Ozga Dorota

机构信息

Medical University Of Gdansk, Gdańsk, Poland.

Anesthesiology and Intensive Care Unit, Specialistic HospitalGdańsk-Zaspa, Poland.

出版信息

Open Med (Wars). 2017 Aug 10;12:239-246. doi: 10.1515/med-2017-0037. eCollection 2017.

Abstract

It is currently estimated that the lack of adequate pain management affects 80% of the global population and the phenomenon poses a serious problem in more than 150 countries. On a national level, the greatest burden of inadequate treatment is borne, among others, by elderly patients. The purpose of the paper was to compare the prevalence of barriers to optimum post-operative pain management in elderly patients, observed by nurses in a clinical, provincial and municipal hospital in Poland. The research project was a multi-center one and took over a year. The study was questionnaire-based. It used the Polish version of the Nurses' Perceived Obstacles to Pain Assessment and Management Practices questionnaire. The study included a total of 1602 nurses working at a clinical, provincial and municipal hospital. In the university hospital, difficulties in pain assessment related to the healthcare system occurred statistically significantly more often.

摘要

目前估计,全球80%的人口缺乏充分的疼痛管理,这一现象在150多个国家构成了严重问题。在国家层面,治疗不足的最大负担,除其他外,由老年患者承担。本文的目的是比较波兰一家临床、省级和市级医院的护士观察到的老年患者术后最佳疼痛管理障碍的患病率。该研究项目是一个多中心项目,耗时一年多。该研究以问卷为基础。它使用了波兰语版的《护士对疼痛评估和管理实践的感知障碍》问卷。该研究共纳入了1602名在临床、省级和市级医院工作的护士。在大学医院,与医疗系统相关的疼痛评估困难在统计学上显著更常见。

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