Hamers Jan P H, Abu-Saad Huda Huijer, van den Hout Marcel A, Halfens Ruud J G, Kester Arnold D M
Department of Nursing Science, University of Limburg, 6200 MD Maastricht, The Netherlands Department of Experimental Abnormal Psychology, University of Limburg, 6200 MD Maastricht, The Netherlands Department of Methodology and Statistics, University of Limburg, 6200 MD Maastricht, The Netherlands.
Pain. 1996 Apr;65(1):53-61. doi: 10.1016/0304-3959(95)00147-6.
This article reports on a study that examines the influence of task-related factors on nurses' pain assessments and decision regarding interventions. In an experimental design pediatric nurses (n = 202), were exposed to different cases, each case being a combination of a vignette and a videotape. For every case subjects were asked to assess the child's pain and to state whether they would administer an analgesic. The results indicated that pediatric nurses attributed more pain and were more inclined to administer non-narcotic analgesics to children who vocally expressed their pain than to children who were less expressive. Furthermore, the interaction results between the child's expression and the medical diagnosis revealed a trend indicating that nurses attributed the most pain to the child when the diagnosis was severe and the child vocally expressed his pain.
本文报道了一项研究，该研究考察了与任务相关的因素对护士疼痛评估及干预决策的影响。在一项实验设计中，202名儿科护士接触了不同的病例，每个病例都是一个小短文和一盘录像带的组合。对于每个病例，要求受试者评估孩子的疼痛程度，并说明是否会给予镇痛药。结果表明，与表达较少的孩子相比，儿科护士认为大声表达疼痛的孩子疼痛程度更高，并且更倾向于给予非麻醉性镇痛药。此外，孩子的表达与医学诊断之间的交互作用结果显示出一种趋势，即当诊断严重且孩子大声表达疼痛时，护士认为孩子的疼痛程度最高。
