全国145家医院疼痛护理管理现状调查  

Survey of pain nursing management status in 145 hospitals of China

作　　者：何苗[1] 王秀丽 祁海鸥[2] 周阳[3] 李漓[4] 任春霞[5] 姜文彬[6] 魏建梅[7] 许丽媛[8] 刘敏君[2] 张海燕[9] HE Miao;WANG Xiuli;QI Haiou;ZHOU Yang;LI Li;REN Chunxia;JIANG Wenbin;WEI Jianmei;XU Liyuan;LIU Minjun;ZHANG Haiyan(Department of Anesthesiology,Peking University People's Hospital,Beijing,100044,China)

机构地区：[1]北京大学人民医院麻醉科,北京市100044 [2]浙江大学医学院附属邵逸夫医院护理部 [3]中南大学湘雅医院护理部 [4]南方医科大学珠江医院护理部 [5]安徽医科大学第一附属医院护理部 [6]青岛大学附属医院护理院感处 [7]南昌大学第一附属医院疼痛科 [8]中日友好医院疼痛科 [9]北京大学人民医院护理部

出　　处：《中国护理管理》2023年第10期1441-1446,共6页Chinese Nursing Management

基　　金：北京大学人民医院临床研究培育项目(RDL2023-14)。

摘　　要：目的:调查我国医院疼痛护理管理现状,为促进疼痛护理管理工作的进一步开展提供参考依据。方法:于2023年6月采用便利抽样方法,选取全国145家医院,使用自行设计的疼痛护理管理调查问卷进行调查。结果:138家(95.17%)医院建立了疼痛护理管理制度,53家(36.55%)医院设立了疼痛护理门诊或疼痛医护联合门诊。开展门诊、急诊及住院患者疼痛评估工作的医院分别有92家(63.45%)、92家(63.45%)、128家(88.28%)。91家(62.76%)医院所在的13个省护理学会成立了疼痛护理专业委员会,其中10个省护理学会疼痛专业委员会开展了疼痛专科护士培训。118家(81.38%)医院开展全院疼痛护理在职培训。结论:全国医院疼痛护理管理制度的建立及住院患者疼痛护理工作的不断推进,但是探索以护士为主体的门诊工作模式,进一步完善疼痛评估的规范性,落实疼痛专科护士的培养及使用细则,加强护士在职培训等方面仍然有待加强。Objective:To investigate the pain nursing management status in hospitals,so as to provide basis for promoting the further development of pain care management in China.Methods:Totally 145 hospitals were selected using convenience sampling method in June 2023,and a self-designed survey questionnaire was used to collect data.Results:Of the 145 hospitals,138(95.17%)hospitals established pain care management system,and 53(36.55%)hospitals set up pain care outpatient clinic or pain healthcare joint outpatient clinic.There were 92(63.45%),92(63.45%),and 128(88.28%)hospitals conducting pain assessment for outpatient,emergency,and hospitalized patients,respectively.Thirteen provincial nursing societies where 91(62.76%)hospitals located established pain nursing professional committees,and 10 pain nursing professional committees carried out pain specialist nurse training.Totally 118(81.38%)hospitals conducted pain care training throughout the hospital.Conclusion:The establishment of a national hospital pain care management system and the implementation of pain care for inpatients are continuously improving.However,there is still room for improvement in exploring a nurse-led outpatient working model,further improving the standardization of pain assessment,implementing the training and usage rules for pain specialist nurses,and strengthening training for nurses.

关 键 词：疼痛 护理管理 现状调查 专科建设 疼痛评估 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学] R441.1