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培养舒适感:对城市教学医院护士疼痛管理技术的质性探索

Nurturing comfort: qualitative exploration of pain management techniques among urban teaching hospital nurses.

作者信息

Menlah Awube, Osei Evans Appiah, Asomani Gloria, Garti Isabella, Awuah Dorothy Baffour, Tata Thomas Kwame Asante, Appiah Stella

机构信息

Charles Darwin University to School of Nursing and Midwifery, Valley View University.

Purdue University, West Lafayette, IN, United States.

出版信息

Pain Rep. 2025 Aug 20;10(5):e1325. doi: 10.1097/PR9.0000000000001325. eCollection 2025 Oct.

Abstract

INTRODUCTION

Despite advances in pain assessment and management, pediatric pain remains undertreated, posing a significant challenge including mortalities. This hinders effective pain management for children, often due to difficulties in pediatric pain assessment by nurses. This study explores pain management practices among pediatric nurses at Korle-Bu Teaching Hospital, Accra.

METHODS

A qualitative descriptive design was used in this study to select 21 practicing nurses using purposive sampling. A semi-structured interview guide was used to collect data via face-face interviews, and data were analysed using inductive content analysis.

RESULTS

Four major themes and 8 subthemes emerged from the findings. Pediatric pain assessment was primarily guided by the experience of care providers rather than routine practices, with children themselves serving as the main indicators of pain rather than relying on parents. Despite various barriers, health care providers prioritized pediatric pain management by integrating compassion, flexibility, and cultural sensitivity into their approach.

CONCLUSION

Pediatric nurses were attentive and provided prompt pain relief but faced challenges with pain assessment and medication administration, particularly with suppositories. Implementing standardized protocols for pain management and providing resources to support nurses in overcoming these challenges can improve the quality of care provided to paediatric patients.

摘要

引言

尽管在疼痛评估和管理方面取得了进展,但儿童疼痛仍未得到充分治疗,带来了包括死亡在内的重大挑战。这阻碍了对儿童的有效疼痛管理,原因通常是护士在儿童疼痛评估方面存在困难。本研究探讨了阿克拉科勒-布教学医院儿科护士的疼痛管理实践。

方法

本研究采用定性描述性设计,通过目的抽样选取21名在职护士。使用半结构化访谈指南通过面对面访谈收集数据,并采用归纳性内容分析法对数据进行分析。

结果

研究结果出现了四个主要主题和八个子主题。儿童疼痛评估主要由护理人员的经验而非常规做法指导,儿童自身是疼痛的主要指标,而非依赖父母。尽管存在各种障碍,但医护人员通过将同情心灵活性和文化敏感性融入其方法中,将儿童疼痛管理作为优先事项。

结论

儿科护士很细心并能迅速缓解疼痛,但在疼痛评估和药物给药方面面临挑战,尤其是栓剂给药。实施标准化的疼痛管理方案并提供资源以支持护士克服这些挑战,可以提高为儿科患者提供的护理质量。

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Pain Evaluation and Treatment in Children: A Practical Approach.儿童疼痛评估与治疗:实用方法
Children (Basel). 2023 Jul 13;10(7):1212. doi: 10.3390/children10071212.

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