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目的探讨如何提高护士对肿瘤患者疼痛评估正确率。方法选取2015年9月1日至9月30日于山东泰山医学院附属医院,护士长抽查护士对疼痛评估的160例资料为对照组,通过调查护士评估肿瘤患者疼痛过程中存在的常见问题,分析原因,提出相应改进策略。整改措施1个月后,于2015年11月1日至11月30日,护士长再次抽查护士疼痛评估情况所获得的182人次数据资料为观察组。统计两组数据存在问题的频次,对改进前后的疼痛评估率进行比较。结果措施实施前后疼痛评估正确率由71.9%提高到92.3%,差异有统计学意义(P<0.05)。结论正确的疼痛评估不仅为镇痛方案的实施提供依据,而且规范了疼痛管理,提高了护理质量。所采取的改进策略效果显著,值得推广。
Objective To explore how to improve the accuracy of nurses’ assessment of pain in cancer patients. Methods From September 1, 2015 to September 30, 2015, 160 cases of nurses’ pain assessment in Shandong Taishan Medical College Affiliated Hospital were selected as the control group. Nurses were surveyed to evaluate the common problems in the process of pain in cancer patients. Analysis of the reasons, put forward the corresponding improvement strategy. One month after the corrective measures, from January 1 to November 30, 2015, the head nurses conducted a random sample of 182 nurses’ pain assessment data to obtain the observation group. Statistics of the frequency of the two groups of data problems, to improve the assessment of pain rates before and after comparison. Results The accuracy of the assessment of pain before and after the implementation of measures increased from 71.9% to 92.3%, the difference was statistically significant (P <0.05). Conclusion The correct assessment of pain not only provides the basis for the implementation of analgesic program, but also regulates the management of pain and improves the quality of nursing. The improvement strategy adopted is remarkable and worth promoting.