以护士为主体的疼痛护理管理质量评价体系的构建及应用  

Construction of nursing management quality evaluation system for pain with nurse as the main body and its application

作　　者：张华秀[1] 熊根玉[1] 魏建梅[1] 喻鹏 ZHANG Huaxiu;XIONG Genyu;WEI Jianmei;YU Peng(The First Affiliated Hospital of Nanchang University,Nanchang 330006,Jiangxi,China)

机构地区：[1]南昌大学第一附属医院,江西南昌330006

出　　处：《护士进修杂志》2023年第7期583-589,共7页Journal of Nurses Training

基　　金：江西省科技厅科技计划项目(编号:2015ZBBG70038)。

摘　　要：目的 建立和实施以护士为主体的三甲医院疼痛护理质量评价体系,提高疼痛护理管理质量。方法 参考美国疼痛学会推荐的医院疼痛护理管理质量评价体系,建立并应用“疼痛评估与护理管理质量评价标准”。内容涵盖疼痛评估方法、疼痛评估护理记录管理、实施镇痛治疗管理、疼痛健康教育管理、疼痛评估收费管理、疼痛护理管理制度6个项目,共6个一级指标、9个二级指标、44个三级指标。同时比较2019和2020年各疼痛管理指标达标情况。结果 疼痛评估方法管理、疼痛评估护理记录管理、疼痛评估收费管理、疼痛护理管理制度4个项目的管理质量2020年较2019年显著提高(P<0.05),其中15条三级指标达标率在90%以上,疼痛评估记录管理各指标全部达标。结论 本研究构建的疼痛评估与护理管理质量评价标准能有效提高临床疼痛护理管理质量,值得临床推广。Objective To establish and implement a nurse-oriented evaluation system for the quality of pain care in grade A hospitals to improve the quality of pain care management.Methods With reference to the quality evaluation system of hospital pain nursing management recommended by the American Pain Society,the"Pain Evaluation and Nursing Management Quality Evaluation Standard"was established and implemented.The content covered 6 items,including pain assessment method,pain assessment nursing record management,analgesic treatment management,pain health education management,pain assessment charge management,and pain nursing management system,with 6 first-level indicators,9 second-level indicators,and 44 third-level indicators,and the attainment of pain management indicators in 2019 and 2020 was compared.Results The management quality of pain assessment method management,pain assessment nursing record management,pain assessment charge management,and pain nursing management system was significantly improved in 2020 compared with that in 2019(P<0.05),among which 15 third-level indicators reached the standard rate of over 90%,and all indicators of pain assessment record management reached the standard.Conclusion The evaluation criteria of pain evaluation and nursing management quality constructed in this study can effectively improve the quality of clinical pain care management,and is worth promoting in large general hospitals.

关 键 词：护士 疼痛管理 护理 质量指标 评价标准 

分 类 号：R471[医药卫生—护理学]