新生儿疼痛评估培训项目
Training program for pain assessment in the newborn.
作者信息
Carpentier E, Moreau F, Soriot-Thomas S, Tourneux P
机构信息
Réanimation et surveillance continue pédiatrique, pôle couple-femme-enfant, CHU d'Amiens, 80054 Amiens, France; PériTox (UMRI 01 INERIS), UFR de médecine, université de Picardie-Jules-Verne, CURS, chemin du Thil, 80025 Amiens, France.
Réanimation et surveillance continue pédiatrique, pôle couple-femme-enfant, CHU d'Amiens, 80054 Amiens, France.
出版信息
Arch Pediatr. 2018 Jan;25(1):35-38. doi: 10.1016/j.arcped.2017.11.014. Epub 2017 Dec 23.
AIM
Pain management is correlated with pain assessment in the newborn infant. The aim of this study was to assess the impact of a 2-week training program composed of short (20min), repeated training sessions conducted in the unit.
METHODS
Pain assessment was studied by means of audits. Each audit included data recorded from the newborn infant's medical charts on the day the infant was admitted to the unit and 3 days before the audit. An audit was performed before the training program and then repeated every month for 12 months.
RESULTS
Eighty-eight (53.7%) members of the neonatology staff were trained during the 2-week training program. After the training program, pain assessment "at least once a day" increased by 39.0% and pain assessment "at least once a shift" increased by 21.5% compared to baseline (P<0.05). The effects of the training program were maintained after 12 months (P<0.05).
CONCLUSION
A training program with short, repeated sessions conducted in the unit trained 53.7% of the neonatology staff and increased the frequency of pain assessment.
目的
新生儿的疼痛管理与疼痛评估相关。本研究的目的是评估一项为期2周的培训计划的影响，该计划由在病房内进行的短时长（20分钟）、重复性培训课程组成。
方法
通过审核研究疼痛评估情况。每次审核包括从新生儿入院当天及审核前3天的病历中记录的数据。在培训计划实施前进行一次审核，然后在12个月内每月重复进行一次。
结果
在为期2周的培训计划中，88名（53.7%）新生儿科工作人员接受了培训。与基线相比，培训计划实施后，“每天至少一次”的疼痛评估增加了39.0%，“每班至少一次”的疼痛评估增加了21.5%（P<0.05）。培训计划的效果在12个月后得以维持（P<0.05）。
结论
在病房内进行的短时长、重复性培训课程的培训计划使53.7%的新生儿科工作人员得到了培训，并提高了疼痛评估的频率。
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