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烧伤疼痛管理:护患沟通的作用

Burns pain management: The role of nurse-patient communication.

作者信息

Tetteh Linda, Aziato Lydia, Mensah Gwendolyn Patience, Vehviläinen-Julkunen Katri, Kwegyir-Afful Emma

机构信息

University of Ghana College of Health Sciences, School of Nursing and Midwifery, P.O. Box LG 43, Legon, Accra, Ghana.

University of Eastern Finland, Faculty of Health Sciences, Department of Nursing Science, FI-70211, Kuopio, Finland; Kuopio University Hospital, Puijonlaaksontie 2, 70210, Kuopio, Finland.

出版信息

Burns. 2021 Sep;47(6):1416-1423. doi: 10.1016/j.burns.2020.11.011. Epub 2020 Nov 27.

Abstract

BACKGROUND

Nursing is an embodiment of knowledge, clinical work, and interpersonal communication. Effective nursing care has a distinct influence on the overall satisfaction and experience of the patient. Communication is said to be indispensable in the delivery of quality healthcare. Effective communication between nurses and patients has proven to yield better results with pain control and improved psychological status of patients.

OBJECTIVES

The aim of the study is to explore nurses' perceptions on the role of communication in the management of burns pain.

METHODS

A qualitative design with purposive sampling was carried out to recruit 11 registered nurses from a Reconstructive Plastic Surgery and Burns Center in Ghana. To identify the participants' perception on the role of nurse-patient communication in the management of burns pain, a face to face semi-structured interviews were conducted using an interview guide to collect data.

RESULTS

Thematic analysis was done with various themes emerging. Helping patients manage pain, early detection of patient's distress, improved patient participation in their care were some of the positive effects of nurse-patient communication whiles reduced level of cooperation during caregiving, and endurance of pain by the patient were the results of poor nurse-patient communication. Language and time factor were the barriers that were identified to hinder effective communication between nurses and patients.

CONCLUSIONS

Due to the subjective nature of pain, the current study highlights the need for increased communication for an effective assessment and management of pain among patients with burns. It is, therefore, imperative that nurses be well trained in communication with an emphasis on patient-centered communication.

摘要

背景

护理是知识、临床工作和人际沟通的体现。有效的护理对患者的总体满意度和体验有显著影响。据说沟通在提供优质医疗保健中不可或缺。护士与患者之间的有效沟通已被证明在疼痛控制和改善患者心理状态方面能产生更好的效果。

目的

本研究的目的是探讨护士对沟通在烧伤疼痛管理中的作用的看法。

方法

采用目的抽样的定性设计,从加纳的一家整形重建与烧伤中心招募了11名注册护士。为了确定参与者对护士与患者沟通在烧伤疼痛管理中的作用的看法,使用访谈指南进行了面对面的半结构化访谈以收集数据。

结果

进行了主题分析,出现了各种主题。帮助患者管理疼痛、早期发现患者的痛苦、提高患者对自身护理的参与度是护士与患者沟通的一些积极效果,而护理过程中合作水平降低以及患者忍受疼痛则是护士与患者沟通不良的结果。语言和时间因素是被确定为阻碍护士与患者有效沟通的障碍。

结论

由于疼痛的主观性,本研究强调需要加强沟通以有效评估和管理烧伤患者的疼痛。因此,护士必须接受良好的沟通培训,重点是以患者为中心的沟通。

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