肿瘤科护士癌痛控制护理行为调查.pdf

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1、护理研究2014年7月第28卷第7期下旬版(总第473期)·2581·科论著肿瘤科护士癌痛控制护理行为调查Surveyofcancerpaincontrolnursingbehaviorsofnursesindepartmentofoncology刘玉，林细吟，赵娟娟LiuYu，LinXiyin，ZhaoJuanjuan(CancerHospitalofSunYat—senUniversity，Guangdong510060China)摘要：[目的]了解肿瘤科护士癌痛控AbstractObjective：Toknowaboutthestatus

2、quoofcancerpaincontrol制护理行为状况。[方法]采用便利抽nursingbehaviorsofnursesindepartmentofoncology．Methods：Thecon—样的方法，选择4所三级甲等医院的venientsamplingmethodwasused，323nursesindepartmentofoncology323名肿瘤科护士进行问卷调查。in4threegradeAhospitalswereselectedforquestionnaire．Results：Pain[结果]疼痛评估维度得分为3．64分

3、±assessmentscorewas3．64±0．8O，thepatient’Spainscoreassessedby0．80分，使用疼痛评估工具评估病人painassessmenttoolwasthelowest：thepharmacologicalanalgesicman—的疼痛得分最低；药物镇痛管理维度agementdimensionscorewas3．02-4-0．76，Thehighestscorefocusedon得分为3．O2分±0．76分，最高得分集中于医嘱性护理行为，最低得分集themedicalcarebehavior，t

4、helowestscorefocusedonthenursingcarebe—中于护嘱性护理行为；非药物镇痛管havior：nonpharmacologicalanalgesicmanagementdimensionscorewas2．91±理维度得分为2．91分±0．66分，最O．66，Thehighestscorewasfocusoninnursingbehaviorswhichweresim—高得分集中于简便易操作的护理行pieandeasyforoperation．Therapeuticcommunicationandeducation

5、di—为；治疗性沟通与宣教维度得分为mensionscorewas3．63±0．79；thelowestscorefocusedonthenursing3．63分±0．79分，最低得分集中于需behaviorswhichneedtonursesandpatientstoparticipatein．Conclusion：要护患共同参与的护理行为。[结论]Nursesindepartmentofoncologyhavebetterperformanceincancerpain肿瘤科护士在疼痛评估以及治疗性沟assessmentandtherapeu

6、ticcommunicationandmission，haspoorperform—通与宣教的癌痛控制护理行为表现较anceinthenursingbehaviorsofpharmacologica1analgesicsandnonphar—好，在药物镇痛与非药物镇痛的护理macologicalanalgesics．Nursesindepartmentofoncologydonotgivefull行为表现较差；肿瘤科护士未充分发playtoitsownindependentfunction，andonlytendtocarryoutthenon

7、挥自身独立职能、只倾向于实施简便pharmacologicalanalgesicmethodwhichissimpleandeasytooperate．The易操作的非药物镇痛方式、评估工具assessmenttoolsarenotcommonlyused，andthenursesarenotawareof未普遍使用、未认识到病人或家属参theimportantroleofpatientsortheirfamilymembersparticipatinginthe与到治疗或护理计划中的重要作用。treatmentornursingplan．关键

8、词：肿瘤科；护士；癌痛；控制；护Keywordsdepartmentofoncology；nurse；cancerpain；control；nursi