成年烧伤病人康复期疼痛管理方案的构建

Construction of pain management program during rehabilitation period for adult burn patients

[目的]构建成年烧伤病人康复期疼痛管理方案,促进临床烧伤疼痛管理护理实践科学、统一和规范。[方法]检索OVID-JBI,Cochrane Library,BEST PRACTICE,RNAO,EBSCO-循证护理学数据库,PubMed以及中国生物医学文献数据库(CBM),检索从创建到2014年12月31日公开发表的关于烧伤病人康复期疼痛管理方法的临床实践指南、证据总结、系统评价、集束化措施,由3位评价者单独进行文献的筛除、质量评价、数据提取并交叉核对形成方案初稿,通过专家会议法和专家咨询对方案进行调整,最终构建成年烧伤病人康复期疼痛管理方案。[结果]本研究共纳入9篇文献,其中6篇指南、3篇系统评价,构建的疼痛管理方案包括疼痛评估流程和疼痛护理干预方案。[结论]以循证护理为研究方法,构建的疼痛管理方案对我国烧伤疼痛护理的实践具有一定的指导作用。

Objective：In order to construct the management plan of pain management for burn patients in rehabilitation period,and to promote the scientific,unified and standardized clinical burn pain management nursing practice.Methods：It retrieved Cochrane,Library OVID-JBI,PRACTICE BEST,RNAO,EBSCO-evidence-based nursing database,PubMed,and the Chinese biomedical literature database（CBM）.It searched clinical practice guidelines,evidence summary,system evaluation,and cluster based measures for pain management in burn patients from search database creation to December 31,2014.3reviewers separately screened literature,quality evaluation,data extraction and cross check the formation of the first draft.Through the expert meeting method and expert consultation to adjust the program,and constructed the pain management plan for burn patients in rehabilitation period.Results：The study included 9papers,6guide and 3systematic review.The pain management programs included pain assessment procedures and pain nursing intervention program.Conclusion：Taking evidence-based nursing as the research method,the pain management program has a certain guiding role in the practice of burn pain nursing in China.