品管圈活动提高病房护士疼痛评估的准确率  

Quality control circle activities improving the accuracy of pain assessment for nurses in ward

作　　者：张晨[1] 何苗[1] 王秀丽 高倩[1] 王茜[1] 丁春月 张旭彤 乔燕 龚晶晶[3] 刘丽娟 徐莹 Zhang Chen;He Miao;Wang Xiuli;Gao Qian;Wang Xi;Ding Chunyue;Zhang Xutong;Qiao Yan;Gong Jingjing;Liu Lijuan;Xu Ying(Department of Anesthesiology,Peking University People's Hospital,Beijing City 100044,China;Department of Intensive Care Unit,Peking University People's Hospital,Beijing City 100044,China;Department of Gynecology,Peking University People's Hospital,Beijing City 100044,China;Department of Traumatic Orthopedics,Peking University People's Hospital,Beijing City 100044,China;Department of Articulation,Peking University People's Hospital,Beijing City 100044,China)

机构地区：[1]北京大学人民医院麻醉科,北京100044 [2]北京大学人民医院重症监护病区,北京100044 [3]北京大学人民医院妇科,北京100044 [4]北京大学人民医院创伤骨科,北京100044 [5]北京大学人民医院骨关节科,北京100044

出　　处：《中华疼痛学杂志》2024年第2期276-282,共7页Chinese Journal Of Painology

摘　　要：目的评价品管圈在提升病房护士疼痛评估准确率方面的应用。方法采用便利抽样法,分别选取2022年8月1日至19日及2022年10月10日至28日北京大学人民医院妇科、创伤骨科、骨关节科、重症监护病区术后携带镇痛泵患者为常规组和品管圈组,分别进行品管圈活动应用前后调查,每组各75例,其中不含携带镇痛泵未满24 h的患者。通过成立品管圈小组,以提高病房护士疼痛评估准确率为主题制定活动计划,进行现况把握、目标设定、原因分析、对策拟定与实施,最后效果确认,形成疼痛管理标准化模式。活动后,比较病房护士疼痛评估准确率,并分析两组患者疼痛评估不准确的原因。结果品管圈组病房护士疼痛评估准确率高于常规组[80%(60/75例)比44%(33/75例),χ^(2)=20.63,P<0.001];圈员完成院内护理规章制度流程及疼痛评估规范的修订;两组患者柏拉图比较,品管圈组疼痛原因较常规组减少(P<0.05),且改善重点无制度因素影响。全体圈员解决问题能力、品管圈手法运用、团队凝聚力、责任感、荣誉感、积极性、自信心、沟通能力等方面得分均有所提高(P均<0.05)。结论品管圈活动能提高病房护士疼痛评估准确率,利于医护人员对疼痛的判断和处理,加速患者康复。Objective To evaluate the quality control circle activities in improving the accuracy of pain assessment for nurses in ward.Methods Patients with analgesia pump in Department of Gynecology,Orthopaedics,Orthopaedics and Intensive Care were divided into routine group and quality control circle group,as the investigation before and after the application of quality control circle,75 cases in each group,by convenient sampling method,in Peking University People's Hospital from August 1,2022 to August 19,2022 and from October 10,2022 to October 28,2022.A standardized model of pain management formed,through the establishment of a quality control circle group and improvement the accuracy of pain assessment for nurses in the ward,by making an activity plan,grasping the current situation,goal setting,cause analysis,countermeasure formulation and implementation.After these activities,the accuracy of pain evaluation of nurses in the ward was compared,and the reasons for inaccurate pain evaluation of the two groups were analyzed.Results The accuracy of pain evaluation in the quality control circle group was higher than that of the routine group[80%(60/75 cases)vs.44%(33/75 cases),χ^(2)=20.63,P<0.001].The circle members completed the revision of hospital nursing rules and procedures,and pain evaluation norms.Plato comparison between the two groups,the causes of pain in the quality control circle group were less than that in the routine group(P<0.05),not affected by institutional factors.The scores of problem-solving ability,quality control circle technique,team cohesion,sense of responsibility,sense of honor,enthusiasm,self-confidence and communication ability were improved in the quality control group(all P<0.05).Conclusion Quality control circle activities can improve the accuracy of pain assessment of nurses in ward,facilitate doctors and nurses to management of pain,and accelerate the recovery of the patients.

关 键 词：疼痛 评估 护士 品管圈 准确性 

分 类 号：R47[医药卫生—护理学]