护理研究
護理研究
호리연구
NURSING RESEARCH
2014年
21期
2581-2585
,共5页
肿瘤科%护士%癌痛%控制%护理行为
腫瘤科%護士%癌痛%控製%護理行為
종류과%호사%암통%공제%호리행위
department of oncology%nurse%cancer pain%control%nursing behaviors
[目的]了解肿瘤科护士癌痛控制护理行为状况。[方法]采用便利抽样的方法，选择4所三级甲等医院的323名肿瘤科护士进行问卷调查。[结果]疼痛评估维度得分为3.64分±0.80分，使用疼痛评估工具评估病人的疼痛得分最低；药物镇痛管理维度得分为3.02分±0.76分，最高得分集中于医嘱性护理行为，最低得分集中于护嘱性护理行为；非药物镇痛管理维度得分为2.91分±0.66分，最高得分集中于简便易操作的护理行为；治疗性沟通与宣教维度得分为3.63分±0.79分，最低得分集中于需要护患共同参与的护理行为。[结论]肿瘤科护士在疼痛评估以及治疗性沟通与宣教的癌痛控制护理行为表现较好，在药物镇痛与非药物镇痛的护理行为表现较差；肿瘤科护士未充分发挥自身独立职能、只倾向于实施简便易操作的非药物镇痛方式、评估工具未普遍使用、未认识到病人或家属参与到治疗或护理计划中的重要作用。
[目的]瞭解腫瘤科護士癌痛控製護理行為狀況。[方法]採用便利抽樣的方法，選擇4所三級甲等醫院的323名腫瘤科護士進行問捲調查。[結果]疼痛評估維度得分為3.64分±0.80分，使用疼痛評估工具評估病人的疼痛得分最低；藥物鎮痛管理維度得分為3.02分±0.76分，最高得分集中于醫囑性護理行為，最低得分集中于護囑性護理行為；非藥物鎮痛管理維度得分為2.91分±0.66分，最高得分集中于簡便易操作的護理行為；治療性溝通與宣教維度得分為3.63分±0.79分，最低得分集中于需要護患共同參與的護理行為。[結論]腫瘤科護士在疼痛評估以及治療性溝通與宣教的癌痛控製護理行為錶現較好，在藥物鎮痛與非藥物鎮痛的護理行為錶現較差；腫瘤科護士未充分髮揮自身獨立職能、隻傾嚮于實施簡便易操作的非藥物鎮痛方式、評估工具未普遍使用、未認識到病人或傢屬參與到治療或護理計劃中的重要作用。
[목적]료해종류과호사암통공제호리행위상황。[방법]채용편리추양적방법，선택4소삼급갑등의원적323명종류과호사진행문권조사。[결과]동통평고유도득분위3.64분±0.80분，사용동통평고공구평고병인적동통득분최저；약물진통관리유도득분위3.02분±0.76분，최고득분집중우의촉성호리행위，최저득분집중우호촉성호리행위；비약물진통관리유도득분위2.91분±0.66분，최고득분집중우간편역조작적호리행위；치료성구통여선교유도득분위3.63분±0.79분，최저득분집중우수요호환공동삼여적호리행위。[결론]종류과호사재동통평고이급치료성구통여선교적암통공제호리행위표현교호，재약물진통여비약물진통적호리행위표현교차；종류과호사미충분발휘자신독립직능、지경향우실시간편역조작적비약물진통방식、평고공구미보편사용、미인식도병인혹가속삼여도치료혹호리계화중적중요작용。
Obj ective:To know about the status quo of cancer pain control nursing behaviors of nurses in department of oncology.Methods:The con-venient sampling method was used,323 nurses in department of oncology in 4 three grade A hospitals were selected for questionnaire.Results:Pain assessment score was 3.64 ± 0.80,the patient’s pain score assessed by pain assessment tool was the lowest;the pharmacological analgesic man-agement dimension score was 3.02 ± 0.76,The highest score focused on the medical care behavior,the lowest score focused on the nursing care be-havior;non pharmacological analgesic management dimension score was 2.91 ± 0.66,The highest score was focus on in nursing behaviors which were sim-ple and easy for operation.Therapeutic communication and education di-mension score was 3.63 ± 0.79;the lowest score focused on the nursing behaviors which need to nurses and patients to participate in.Conclusion:Nurses in department of oncology have better performance in cancer pain assessment and therapeutic communication and mission,has poor perform-ance in the nursing behaviors of pharmacological analgesics and non phar-macological analgesics.Nurses in department of oncology do not give full play to its own independent function,and only tend to carry out the non pharmacological analgesic method which is simple and easy to operate.The assessment tools are not commonly used,and the nurses are not aware of the important role of patients or their family members participating in the treatment or nursing plan.
