CAJ | 학술논문

目的了解外科护士对术后疼痛管理的认知水平及相关影响因素,以及干预措施对其的影响,为外科护士进行更为有效的术后疼痛管理提供理论依据.方法主要运用质性研究中的扎根理论研究,以三角交叉检视法对资料进行收集,包括护士的深度访谈和观察以及护士和患者问卷调查等资料收集,共回收患者问卷98份,护士问卷25份.运用持续比较方式进行资料分析,归纳出影响护士术后疼痛管理的相关因素,并予以干预措施,交叉对比分析干预前后外科护士疼痛管理知识水平和行为的改变情况.结果干预后外科护士术后疼痛管理的知识水平和行为均有不同程度的提高.干预后患者满意度问卷调查亦较干预前有显著的提高.外科护士自我意识提升影响术后疼痛管理水平的理论模型包括概念结构、促进因素和结果3个部分.结论外科护士自我意识的提升可提高术后疼痛管理水平.
목적 료해외과호사대술후동통관리적인지수평급상관영향인소,이급간예조시대기적영향,위외과호사진행경위유효적술후동통관리제공이론의거.방법 주요운용질성연구중적찰근이론연구,이삼각교차검시법대자료진행수집,포괄호사적심도방담화관찰이급호사화환자문권조사등자료수집,공회수환자문권98빈,호사문권25빈.운용지속비교방식진행자료분석,귀납출영향호사술후동통관리적상관인소,병여이간예조시,교차대비분석간예전후외과호사동통관리지식수평화행위적개변정황.결과 간예후외과호사술후동통관리적지식수평화행위균유불동정도적제고.간예후환자만의도문권조사역교간예전유현저적제고.외과호사자아의식제승영향술후동통관리수평적이론모형포괄개념결구、촉진인소화결과3개부분.결론 외과호사자아의식적제승가제고술후동통관리수평.
Objective To find out the nurse's cognitive level of the postoperative pain management and its relevant elements,and influence of intervention measures on their postoperative pain management,so that can provide a theoretic basis for a more effective postoperative pain management.Methods The grounded theory research method taken from qualitative research Was mainly used,and triangulation was applied in collecting the information,such as observational method,interviewing method among nurses and collecting questionnaire among nurses and patients.In addition,the information was analyzed by using the constant tomparative method,generalized the relative elements influencing the postoperative pain managemen,summarized the intervention measure.In the end.analyzed comparatively the change of the nurses'knowledge and behavior of the postoperative pain management before and after intervention.Results Surgical nurses'knowledge and behavior of the postoperative pain management was improved in various degrees.The difference of the data has statistical significance.Satisfaction degree of patients improved and the theoretical model included conceptual structure,contributory factors and results.Conclusions The advance of the surgical nurse's self-awareness can improve the level of the postoperative pain management.