疼痛评估管理体系的构建及应用  

Establishment and application of pain assessment and management system

作　　者：魏建梅[1] 王志剑[1] 刘韦辰 熊晨悦 万露 宁玉梅 张达颖[1] WEI Jianmei;WANG Zhijian;LIU Weichen;XIONG Chenyue;WAN Lu;NING Yumei;ZHANG Daying(Pain Department,The First Affiliated Hospital of Nanchang University,Nanchang,330006,China)

机构地区：[1]南昌大学第一附属医院疼痛科,南昌市330006

出　　处：《中国护理管理》2023年第10期1447-1451,共5页Chinese Nursing Management

基　　金：2013—2014年度国家临床重点专科建设项目[国卫办医函(2013)544号]。

摘　　要：目的:构建临床疼痛评估管理体系并评价其临床应用效果,为临床规范化开展疼痛评估管理工作提供参考依据。方法:从临床疼痛评估方法、管理工具、质量评价及疼痛值信息化闭环管理平台等方面构建疼痛评估管理体系,比较体系应用前、后,护士执行疼痛评估情况、患者疼痛控制情况及患者满意度等。结果:系统应用后护士执行疼痛评估的完整率和准确率均提高(P<0.05),患者静脉镇痛用药比例下降(P<0.05),爆发痛或重度痛及时处置率提高(P<0.05),患者对疼痛控制效果的满意度提高(P<0.05)。结论:该体系能客观反映相关疼痛性疾病的病情与治疗转归,为提高整体疼痛评估管理水平和临床诊疗效果夯实基础,值得进一步推广。Objective:To establish a clinical pain assessment and management system and evaluate its application effect,so as to provide a reference for standardized clinical pain assessment and management.Methods:The pain assessment and management system was established from the aspects of clinical pain assessment methods,management tools,quality evaluation and the closed-loop information management platform of pain score.Nurses'performance in pain assessment,patient pain control effect,and patient satisfaction were compared before and after the application of system.Results:After the application of the system,the completeness and accuracy of pain assessment improved(P<0.05),the proportion of intravenous analgesics decreased(P<0.05),the timely treatment rate for explosive or severe pain increased(P<0.05),and patients'satisfaction with pain control effectiveness increased(P<0.05).Conclusion:This system can objectively reflect the condition and treatment outcome of related painful diseases,laying a solid foundation for improving the overall pain assessment and management level and clinical diagnosis and treatment effect,and is worthy of further promotion.

关 键 词：疼痛评估 疼痛管理 体系构建 临床应用 

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