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不同转诊级别医院护士新生儿疼痛管理的知识与实践——多中心研究

Knowledge and Practices in Neonatal Pain Management of Nurses Employed in Hospitals with Different Levels of Referral-Multicenter Study.

作者信息

Popowicz Hanna, Mędrzycka-Dąbrowska Wioletta, Kwiecień-Jaguś Katarzyna, Kamedulska Agnieszka

机构信息

Department of Obstetric and Gynecological Nursing, Medical University of Gdańsk, 80-211 Gdańsk, Poland.

Department of Anaesthesiological Nursing and Intensive Care, Medical University of Gdańsk, 80-211 Gdańsk, Poland.

出版信息

Healthcare (Basel). 2021 Jan 5;9(1):48. doi: 10.3390/healthcare9010048.

DOI:10.3390/healthcare9010048
PMID:33466529
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7824971/
Abstract

BACKGROUND

One of the key elements of patient care is the relief and prevention of pain sensations. The importance of pain prevention and treatment has been emphasized by many international organizations. Despite the recommendations and guidelines based on evidence, contemporary research shows that the problem of pain among patients in neonatal intensive care units (NICUs) in various centers is still an important and neglected problem.

AIM

The aim of this study was to assess the level of knowledge of the medical personnel and their perception of the issue of pain in neonatal patients.

METHODS

A quantitative descriptive study carried out in 2019. The study used a nurses' perceptions of neonatal pain questionnaire.

RESULTS

A total of 43 Polish hospitals and 558 respondents participated in the project. 60.9% ( = 340) and 39.1% ( = 218) of respondents were employed in secondary and tertiary referral departments, respectively.

CONCLUSION

Our analyses indicate that despite the availability of pain assessment tools for neonatal patients, only a few centers use standardized tools. The introduction of strategies to promote and extend the personnel's awareness of neonatal pain monitoring scales is necessary.

摘要

背景

患者护理的关键要素之一是缓解和预防疼痛感觉。许多国际组织都强调了疼痛预防和治疗的重要性。尽管有基于证据的建议和指南,但当代研究表明,各中心新生儿重症监护病房(NICU)患者的疼痛问题仍然是一个重要且被忽视的问题。

目的

本研究的目的是评估医务人员对新生儿疼痛问题的认知水平及其看法。

方法

2019年进行的一项定量描述性研究。该研究使用了护士对新生儿疼痛的认知调查问卷。

结果

共有43家波兰医院和558名受访者参与了该项目。分别有60.9%(n = 340)和39.1%(n = 218)的受访者受雇于二级和三级转诊科室。

结论

我们的分析表明,尽管有针对新生儿患者的疼痛评估工具,但只有少数中心使用标准化工具。有必要引入相关策略来提高并扩大工作人员对新生儿疼痛监测量表的认识。

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J Pain Res. 2020 Jul 24;13:1883-1897. doi: 10.2147/JPR.S248042. eCollection 2020.
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CMAJ. 2018 Nov 7;190(Suppl):S26-S27. doi: 10.1503/cmaj.180338.
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