基于格林模式提高疼痛评估护理质量的实践

Using Precede-Proceed Model to promote nursing quality of pain assessment

目的 :促进医院疼痛评估护理质量的提高,以提升疼痛管理质量。方法 :以格林模式为指导,分析影响疼痛评估护理质量的倾向因素、促成因素和强化因素,并采取针对性的措施促进各因素的形成。结果 :新入院患者的疼痛评估记录规范率提高;疼痛≥4分患者的干预率及再评估规范率提高;疼痛≥4分患者的疼痛评估符合率提高,差异均有统计学意义(P<0.05)。结论 :以格林模式为指导有助于促进疼痛评估护理质量的提高,促进了疼痛管理质量的提升。

Objective：To promote the nursing quality of pain assessment,and to improve the quality of pain management in hospital.Methods：Guided by the Precede-Proceed Model,we analyzed the predisposing factors,enabling factors and reinforcing factors that affected the nursing quality of pain assessment,and took measures to promote the development of various factors.Results：Guided by the Precede-Proceed Model,the pain assessment rate for new in-patients was increased significantly; the intervention rate and reassessment rate for patients with pain scores greater than or equal to four points were increased significantly; the pain assessment coincidence rate for patients with pain scores greater than or equal to four points were increased significantly（P〈0.05）.Conclusion：The Precede-Proceed Model is helpful to improve the nursing quality of pain assessment,and improve the quality of pain management in hospital.