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頁籤選單縮合
題名 | 腫瘤病房護理師疼痛照護執行改善專案=The Improvement Project of Pain Care Implement for Nurses in an Oncology Ward |
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作者 | 陳愿平; 陸若蕎; 葉梅芬; 謝書華; | 書刊名 | 高雄護理雜誌 |
卷期 | 40:3 2023.12[民112.12] |
頁次 | 頁39-50 |
分類號 | 419.8234 |
關鍵詞 | 癌症; 疼痛; 照護品質; Cancer; Pain; Quality of care; |
語文 | 中文(Chinese) |
DOI | 10.6692/KJN.202312_40(3).0004 |
中文摘要 | 疼痛為癌症病人最常見的症狀之一,若護理師未能及時評估與協助解決病人的疼痛,會衍生出護病緊張關係及增多書面投訴情形。本腫瘤病房於2018年1月疼痛控制評估品質監測僅達73.3%且遠低於閾值,主要原因為護理師教育訓練不符合臨床實務需求、評估工具不便利、缺乏疼痛相關衛教單張、不熟悉疼痛照護規範及缺乏提醒機制。本專案旨在提升腫瘤病房護理師執行疼痛照護完整率,藉由海報張貼、提示標語、照護口訣、衛教單張、教育訓練、案例討論及mini-CEX評量等對策,使護理師疼痛控制評估執行完整率由77.3%上升至97.8%、疼痛評估技術正確率由51.2%上升至100%,透過此專案的改善方法達成精實完整疼痛評估,並提升醫療及照護品質。 |
英文摘要 | Pain is one of the most common symptoms in patients diagnosed with cancer. If nurse's staff can't assess and assist immediately the patient's pain, the relationship between the nurse and patient could be tense and complaints might be increased. In January 2018, the quality monitoring of pain control assessment in our oncology ward only reached 73.3%, which was far below the threshold. The problem is education and training of nurses not conformed with clinical practice demands, convenient assessment tools, lack of pain-related health education leaflets, unfamiliar with pain care norms and lack of reminder mechanism. The purpose of this project was to raise up the complete rate of pain care implement for nurses in oncology ward. The counter was measured by using posters, tagline, slogans, health education leaflets, education and training, case discussions, and mini-CEX evaluation. The complete rate of pain care implement increased from 77.3% up to 97.8% and pain assess correct rate increased from 51.2% up to 100%. By this improvement project method was to accomplish pain assessment and increase medical and nursing care quality. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。