护理人员对癌痛自控镇痛治疗的知信行现状及相关因素  

Research progress on nurses'knowledge,attitude and practice and associated factors concerning patient-controlled analgesia for cancer pain

作　　者：项巧珍[1] 杨舒岚 谢玲芳[1] 李燕芳 杨一龙 林雨涵 Xiang Qiaozhen;Yang Shulan;Xie Lingfang;Li Yanfang;Yang Yilong;Lin Yuhan(Medical Care Ward,Zhejiang Hospital,Hangzhou 310030,China;College of Public Health,Hangzhou Normal University,Hangzhou 311121,China)

机构地区：[1]浙江医院医疗照护病房,杭州310030 [2]杭州师范大学公共卫生学院,杭州1311121

出　　处：《中华老年医学杂志》2024年第7期828-833,共6页Chinese Journal of Geriatrics

基　　金：国家自然科学基金(72004232);杭州师范大学科研启动经费项目(KYQD-2023-154)。

摘　　要：疼痛是癌症患者最常见和最难忍受的症状之一,也是影响患者生活质量的主要因素。患者自控镇痛泵技术(PCA)是传统药物镇痛的重要补充措施,护士作为癌痛PCA管理实施的主要角色,其关于癌痛PCA知识、信念、行为的状况将直接影响癌痛管理实施的治疗效果。本文对护理人员癌痛PCA的知信行现状及影响因素进行归纳和分析,从完善PCA护理管理、加强护士专科培训、建立癌痛PCA专家共识方面提出建议,旨在为癌痛PCA的护理实践提供参考。Pain is one of the most common and unendurable symptoms in cancer patients and a major factor affecting their quality of life.Patient-controlled analgesia(PCA)is an important palliative measure in additional to conventional pharmacological control of pain.Nurses play the primary role in the management of PCA for cancer pain,and their knowledge,attitude and practice about PCA for cancer pain directly affect the effectiveness of cancer pain management.This article summarizes and analyzes the current status of nurses'knowledge,attitude and practice and associated influencing factors,aiming to improve nursing management of PCA,reinforce specialized nursing training,propose recommendations for an expert consensus on PCA for cancer pain and provide a reference for nursing practice in PCA for cancer pain.

关 键 词：疼痛 镇痛 肿瘤 

分 类 号：R473.73[医药卫生—护理学]