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护理工作量、疼痛知识及其与疼痛记录的关系。

Nursing Workload, Knowledge about Pain, and Their Relation to Pain Records.

机构信息

Medicine Department, Nursing Area, University Of Oviedo, Oviedo, Spain.

Medicine Department, Nursing Area, University Of Oviedo, Oviedo, Spain.

出版信息

Pain Manag Nurs. 2020 Dec;21(6):510-515. doi: 10.1016/j.pmn.2020.03.009. Epub 2020 Apr 30.

DOI:10.1016/j.pmn.2020.03.009
PMID:32362473
Abstract

PURPOSE

To study the relationship between frequency of pain assessment and nursing workload, and also to analyze the frequency of pain assessment and its relation to knowledge and attitudes toward pain on nursing professionals in intensive care unit.

METHODS

An ambispective study was conducted in a Spanish tertiary-level intensive care unit between October 2017 and April 2018. For measurement of workload, the Nursing Activities Score scale was used, and for measurement of pain knowledge, the Knowledge and Attitudes Survey Regarding Pain was used.

RESULTS

There were 1,207 measurements among 41 nurses and 1,838 among 317 patients. The average nursing workload was high (70.97 points). We found statistically significant positive association between nursing workload and the frequency of assessment (p < .001), as well as frequency of assessment and patients with communicative capacity (p = .008).

CONCLUSIONS

Nursing workload affects the registration and assessment of patients' pain, resulting in a greater number of records as the workload performed by nurses increases. It is necessary to study in greater depth how the severity of pain, gender of the patients, and workload of nurses influence pain registration and assessment.

摘要

目的

研究疼痛评估频率与护理工作量之间的关系,并分析重症监护病房护理人员疼痛评估频率及其与疼痛知识和态度的关系。

方法

2017 年 10 月至 2018 年 4 月,在西班牙一家三级重症监护病房进行了一项前瞻性研究。护理工作量采用护理活动评分量表进行测量,疼痛知识采用疼痛知识和态度调查进行测量。

结果

在 41 名护士中进行了 1207 次测量,在 317 名患者中进行了 1838 次测量。平均护理工作量较高(70.97 分)。我们发现护理工作量与评估频率之间存在统计学上显著的正相关(p <.001),以及评估频率与具有沟通能力的患者之间存在统计学上显著的正相关(p =.008)。

结论

护理工作量影响患者疼痛的登记和评估,导致护士工作量增加时记录的数量增加。有必要更深入地研究疼痛严重程度、患者性别和护士工作量如何影响疼痛登记和评估。

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