ICU护士疼痛评估能力现状与持续质量改进的效果分析

Current Situation of Pain Assessment Ability of ICU Nurses and Effect Analysis of Continuous Quality Improvement

目的:调查ICU护士疼痛评估能力的现状,对持续质量改进后的效果进行研究分析,为ICU患者的疼痛管理提供依据。方法:采用便利抽样法,随机选取温州医科大学附属第二医院的98名ICU护士进行疼痛评估现状问卷调查,对调查结果进行研究分析,对发现的评估缺陷进行持续质量改进,比较改进前后的疼痛管理效果。结果:进行持续质量改进2个月后,疼痛药物知识平均答对率由45.92%提高到78.57%;疼痛行为量表及重症监护疼痛观察工具(CPOT)的使用率由12.24%及11.22%提升到36.73%及35.71%;差异具有统计学意义(P<0.05)。结论:通过对ICU护士疼痛评估能力现状的调查分析,对评估缺陷进行持续质量改进,可以有效改善疼痛管理的临床效果。

[Objective]To investigate the current status of pain assessment ability of ICU nurses and the effect of continuous quality improvement was studied and analyzed in order to provide evidence for pain management in ICU patients.[Method]Using the convenient sampling method,a total of 98 ICU nurses in the Second Affiliated Hospital of Wenzhou Medical University were randomly selected to conduct a questionnaire survey on the status of pain assessment.We conducted research and analysis on the survey results,carried out continuous quality improvement on the identified assessment defects,and compared the pain management effects before and after improvement.[Result]After 2 months of continuous quality improvement,the average correct rate of pain drug knowledge increased from 45.92%to 78.57%.The use rate of pain behavior scale and pain observation tools in ICU increased from 12.24%and 11.22%to 36.73%and 35.71%,respectively.The difference was statistically significant(P<0.05).[Conclusion]Through investigating and analyzing the current situation of pain assessment ability of ICU nurses,effective continuous quality improvement for assessment of defects,it can effectively improve the clinical effect of pain management.