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利雅得哈吉尔市哈立德国王医院重症监护患者疼痛的护士评估与管理实践

Nurses' assessment and management practices of pain among intensive care patients in King Khalid Hospital, Kharj, Riyadh.

作者信息

Saleh Ahmad Mahmoud

机构信息

Department of Nursing, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Al-Kharj, Riyadh, Saudi Arabia.

出版信息

Heliyon. 2023 Sep 9;9(9):e19986. doi: 10.1016/j.heliyon.2023.e19986. eCollection 2023 Sep.

Abstract

BACKGROUND

Pain is a disagreeable combination of sensory and emotional sensations. Employing behavioral pain assessment tools is strongly associated with improved identification of pain.

PURPOSE

The main purpose of the study is to investigate Nurses' Assessment and Management Practices of Pain among Intensive Care Patients in King Khalid Hospital, Kharj, Riyadh.

MATERIALS AND METHODS

A self-administered questionnaire was employed in a descriptive cross-sectional study. The study focused on nurses employed in the intensive care unit at King Khalid Hospital in Al-Kharj Province. The researchers utilized convenience sampling to recruit participants. Out of the total 48 nurses approached 45 of them provided responses, leading to a response rate of 94%. The Critically Ill questionnaire was utilized to gather information regarding the treatment and evaluation of pain in patients who were in critical condition. Descriptive statistics and inferential statistics were employed to analyze the collected data.

PRINCIPAL RESULTS

it was found that 88% of them utilized instruments to evaluate pain in patients who could express themselves. Among these instruments, the numeric rating scale was the most commonly employed. Furthermore, 77% of the nurses (35 in total) used a pain assessment tool for patients who were unable to communicate, with the Adult Nonverbal Pain Scale being the most frequently used tool in this case. The nurses' perception of the significance of pain assessment was positively associated with the regular utilization of pain assessment tools. Additionally, the nurses considered the use of pain assessment tools with patients who could communicate as more important compared to using such tools with patients who could not communicate.

CONCLUSIONS

Most ICU nurses utilized nurses' pain assessment instruments to assess the discomfort levels of both patients who could communicate and those who couldn't express themselves effectively. By employing such tools, nurses can improve patient outcomes, ensure effective pain management, and demonstrate a high standard of professional care.

摘要

背景

疼痛是感觉和情感感受的一种令人不适的组合。使用行为疼痛评估工具与改善疼痛识别密切相关。

目的

本研究的主要目的是调查利雅得哈吉尔市哈立德国王医院重症监护患者中护士对疼痛的评估和管理实践。

材料与方法

在一项描述性横断面研究中采用了自填式问卷。该研究聚焦于哈吉尔省哈立德国王医院重症监护病房的护士。研究人员采用便利抽样法招募参与者。在总共接触的48名护士中,有45名提供了回复,回复率为94%。使用《危重病患者问卷》收集有关危重病患者疼痛治疗和评估的信息。采用描述性统计和推断性统计对收集到的数据进行分析。

主要结果

发现88%的护士使用工具评估能够表达自己的患者的疼痛。在这些工具中,数字评分量表是最常用的。此外,77%的护士(共35名)对无法沟通的患者使用了疼痛评估工具,其中成人非语言疼痛量表是最常用的工具。护士对疼痛评估重要性的认知与疼痛评估工具的常规使用呈正相关。此外,护士认为对能够沟通的患者使用疼痛评估工具比无法沟通的患者更重要。

结论

大多数重症监护病房护士使用护士疼痛评估工具来评估能够沟通和无法有效表达自己的患者的不适程度。通过使用这些工具,护士可以改善患者预后,确保有效的疼痛管理,并展现出高标准的专业护理。

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