Dalton J A
Oncol Nurs Forum. 1989 Mar-Apr;16(2):225-31.
Nursing pain assessments are influenced by the length of available tools, patient characteristics, patient pathology, concern about addictive behavior, and characteristics of the nurse. The relationship among these variables was explored in a sample of community hospital nurses (N = 59) and ONS members (N = 19). Although a number of interesting similarities were found in the two groups, age, professional and continuing education, and care setting appear to be related to differences in pain assessment practices. Implications for practice, research, and education include teaching nurses to: assess factors related to quality of life in the pain experience, assess and validate data from families, assess coping skills, and teach patients to use behavioral pain management strategies. The findings also suggest that further study is needed concerning the relationship between personal beliefs and experiences and the assessment and management of pain. Membership in professional organizations appears to be associated with comprehensive approaches to the assessment and management of cancer pain and should be addressed in further research.
护理疼痛评估受到可用工具的长度、患者特征、患者病理状况、对成瘾行为的担忧以及护士的特征等因素的影响。在一个由社区医院护士（N = 59）和肿瘤护理协会成员（N = 19）组成的样本中，对这些变量之间的关系进行了探究。尽管在两组中发现了一些有趣的相似之处，但年龄、专业及继续教育情况以及护理环境似乎与疼痛评估实践中的差异有关。对实践、研究和教育的启示包括教导护士：评估与疼痛体验中生活质量相关的因素、评估并验证来自家属的数据、评估应对技巧以及教导患者使用行为疼痛管理策略。研究结果还表明，需要进一步研究个人信念和经历与疼痛评估及管理之间的关系。专业组织的成员身份似乎与癌症疼痛评估和管理的综合方法有关，这一点应在进一步研究中加以探讨。
