护士在儿童术后疼痛评估中面临的问题

The difficulties in assessing the postoperative paediatric pain among Chinese nurses

目的:探讨护士在儿童术后疼痛评估中的行为、经验和看法。方法:应用质性研究方法,对20名儿童医院护士进行深入访谈。结果:护士在儿童术后疼痛评估中的角色定位和期望以及临床执行术后疼痛评估时的能力和行为,受到以下因素的影响:护士、医生、患儿、家长四者之间的关系,特殊的临床情境,疼痛管理政策以及护理教育等。缺乏科学系统的理论支持和具体有效的疼痛评估指导,是临床护士无法创造性发挥其专业优势,减轻术后儿童疼痛的主要原因。结论:目前我国需要从护士自身的观点和需求出发,对疼痛评估和管理的护理教程、管理政策的正确与否,以及其与临床的相关性进行重新评估和改进。

Objectives： To explore Chinese nurses＇ behaviour, experience and opinion of postoperative paediatric pain assessment. Methods： A qualitative research was used and we conducted in-depth face-to-face interviews with 20 Chinese paediatric nurses. Results： The evidence demonstrated that nurses＇ role position, expectation, capability and behaviour in assessing postoperative paediatric pain were influenced by many factors, including pain management education and policy, the relationship between nurses, doctors, children and their parents, and special clinical environment. The lack of detailed theoretical and practical support was the main barrier to initiate the professional strength of nurses＇ contribution to the assessment of the postoperative pain for children and to reduce their pain. Conclusion： The current nursing educational curriculum and the administrative policy in pain assessment and management need to be re-evaluated about their relevance and accuracy according to nurses＇ opinions and needs.