摘要
目的:调查国内医院儿童疼痛管理的实践现状,为制定儿童疼痛管理护理质量敏感指标提供基础数据。方法:采用自行设计的儿童疼痛管理实践现状调查问卷分别对全国66家医疗机构的护理部主任和科室护士长进行调查。结果:共调查了33家综合医院、21家儿科专科医院和12家妇幼保健院,包括PICU、NICU、儿内科、儿外科、门诊、综合儿科共492个科室。其中有42家医疗机构(63.64%)开展了儿童疼痛管理。但仅8家医疗机构(12.12%)实现了患儿疼痛评估全覆盖,包括全部门诊和住院患儿。39家医疗机构(59.09%)制定了疼痛管理相关制度或流程。调研科室中,有300个科室(60.98%)未进行常规性的疼痛评估。疼痛评估工具和镇痛方法也存在不同程度的差异。结论:目前国内医疗机构尚未做到儿童疼痛管理全覆盖,儿童疼痛管理工作有待进一步规范。有必要建立规范统一的儿童疼痛管理方案或相应指南,提高儿童疼痛管理质量。
Objective:To investigate the current status of children's pain management practice in domestic hospitals,and to provide basic data for the development of sensitive indicators of pain management quality in children.Methods:Directors of nursing department and head nurses in 66 hospitals were recruited with self-designed children's pain management status questionnaires.Results:A total of 33 general hospitals,21 specialized hospitals and 12 maternal and child health hospitals were investigated,including 492 departments of PICU,NICU,Pediatrics,Pediatric Surgery,Outpatient,and General Hospital Pediatrics.Among them,42 hospitals (63.64%)carried out child pain management.However,only 8 hospitals (12.12%) achieved full coverage of the child's pain assessment,including all outpatients and hospitalized children.39 hospitals (59.09%) developed a pain management system.300 departments (60.98%)did not undergo routine pain assessment.There are also varying degrees of differences in the assessment tools and analgesia methods.Conclusion:Children pain management have not yet fully covered in domestic hospitals.Children's pain management needs to be further regulated.It is necessary to establish a standardized child pain management program or guide to improve the quality of pain management in children.
作者
沈巧
郑显兰
林紫
李霞
冷虹瑶
SHEN Qiao;ZHENG Xianlan;LIN Zi;LI Xia;LENG Hongyao(Department of Nursing,Children's Hospital of Chongqing Medical University,Chongqing,400014,China)
出处
《中国护理管理》
CSCD
北大核心
2019年第2期187-193,共7页
Chinese Nursing Management
基金
2013-2014年度国家临床重点专科建设项目(临床护理)(国卫办医涵[2013] 544号)
2016年重庆市卫生和计划生育委员会重点项目(2016ZDXM016)
关键词
儿童
疼痛管理
横断面调查
children
pain management
cross-sectional survey
作者简介
沈巧,硕士;通信作者:郑显兰,硕士,主任护师,护理部主任,E-mail:zhengxl003@163.com.
