Sardo Salvatore, Galletta Maura, Coni Erica, Aviles Gonzalez Cesar Ivan, Piras Ilenia, Pia Giorgio, Evangelista Maurizio, Musu Mario, Finco Gabriele
Anesthesia and Intensive Care Unit, University of Cagliari, Cagliari, Italy.
Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
J Pain Res. 2020 Sep 22;13:2355-2359. doi: 10.2147/JPR.S266087. eCollection 2020.
The aim of this prospective study was to assess the behavior of emergency department (ED) nurses with regard to pain and their role in pain management in a real-life clinical setting.
A total of 509 consecutive patients were enrolled during a 6-week period. A case-report form was used to collect data on nurses' approaches to pain, time to analgesia provision, and patient-perceived quality of analgesia.
Triage nurses actively inquired about pain in almost every case, but they did not estimate pain intensity in a third of patients. In the majority of cases, triage nurses did not report pain-related findings to the physician, who was the only professional that could prescribe analgesia to patients. The assignment of the color-coding of triage by nurses appears to be related to the perceived severity of the clinical case and a more comprehensive evaluation of pain. More than half of patients were at least fairly satisfied with analgesia.
Pain is increasingly screened during triage, but its comprehensive assessment and management still lack systematic application. We believe that further education and implementation of analgesia protocols may empower nurses to manage ED patients' pain more effectively and in a more timely manner.
这项前瞻性研究的目的是评估急诊科护士在现实临床环境中对疼痛的处理方式及其在疼痛管理中的作用。
在为期6周的时间里，共纳入了509例连续的患者。使用病例报告表收集关于护士处理疼痛的方法、提供镇痛的时间以及患者感知的镇痛质量的数据。
分诊护士几乎在每一个病例中都会主动询问疼痛情况，但三分之一的患者中他们并未评估疼痛强度。在大多数情况下，分诊护士未向能够为患者开具镇痛药的唯一专业人员——医生报告与疼痛相关的发现。护士对分诊进行颜色编码的分配似乎与临床病例的感知严重程度以及对疼痛更全面的评估有关。超过一半的患者对镇痛至少还算满意。
在分诊期间对疼痛的筛查越来越多，但对其全面评估和管理仍缺乏系统应用。我们认为，进一步的教育和实施镇痛方案可能使护士能够更有效、更及时地管理急诊科患者的疼痛。
