Törnkvist L, Gardulf A, Strender L E
Department of Clinical Neuroscience and Family Medicine, Karolinska Institute, Huddinge, Stockholm, Sweden.
Scand J Caring Sci. 1998;12(3):146-53.
This is the first of two studies investigating district nurses' opinions regarding the knowledge, management and nursing documentation of patients with chronic pain conditions, before and after the introduction of 'pain advisers' in one health care region in Stockholm. Seventy (97%) district nurses at 12 selected primary health care centres (PHCCs) answered a questionnaire. The study showed that 85% of the district nurses met patients with chronic pain conditions at least once a week. None of the 12 PHCCs had any written information/policies on pain control. Many district nurses did not perform any individual analysis of the patients' pain and very few used any tool, such as VAS, to assess or evaluate the patients' pain. The district nurses reported insufficient pain documentation. A number of district nurses were dissatisfied with the present management of patients with chronic pain at their PHCCs, their own knowledge of pain control, their own preparedness to meet these patients, their own follow-ups and their own documentation. The study also showed that the district nurses' attitudes to pain and pain control varied, depending on how satisfied they were with their own management of patients with chronic pain conditions.
这是两项研究中的第一项，旨在调查在斯德哥尔摩的一个医疗保健区域引入“疼痛顾问”之前和之后，社区护士对慢性疼痛患者的知识、管理和护理记录的看法。在12个选定的初级卫生保健中心（PHCC）工作的70名（97%）社区护士回答了一份问卷。研究表明，85%的社区护士每周至少会见一次慢性疼痛患者。12个PHCC中没有一个有关于疼痛控制的书面信息/政策。许多社区护士没有对患者的疼痛进行任何个体分析，很少有人使用任何工具（如视觉模拟评分法（VAS））来评估患者的疼痛。社区护士报告疼痛记录不足。一些社区护士对其PHCC目前对慢性疼痛患者的管理、他们自己对疼痛控制的知识、他们自己接待这些患者的准备情况、他们自己的随访以及他们自己的记录不满意。研究还表明，社区护士对疼痛和疼痛控制的态度各不相同，这取决于他们对自己对慢性疼痛患者的管理的满意程度。
