儿科护士疼痛评估循证护理实践现状及影响因素分析

Current situation and influencing factors of evidence-based nursing practice of pain assessment in pediatric nurses

目的调查儿科护士疼痛评估循证护理实践现状及可行性,分析其影响因素。方法采用便利抽样法,选择2018年8—12月对上海交通大学附属儿童医院符合纳入排除标准的儿科护士为研究对象。采用护士疼痛评估循证护理实践现状问卷进行调查,并分析其影响因素。共发放问卷300份,回收有效问卷265份,问卷有效回收率为88.33%。结果265名儿科护士的疼痛评估循证护理实践得分为(114.22±19.81)分,得分最高为疼痛筛查维度,得分最低为疼痛评估中与患者及家属的交流维度。单因素分析显示,不同科室、所在科室医生对疼痛治疗的支持度、是否将疼痛列为第五大生命体征、是否建立疼痛护理制度的儿科护士疼痛评估循证护理实践总分比较,差异均有统计学意义(P<0.05)。多重线性回归分析显示,医生对疼痛治疗的支持度、科室是否将疼痛列为第五大生命体征、是否建立疼痛护理制度是儿科护士疼痛评估循证护理实践的影响因素(P<0.05)。结论目前上海交通大学附属儿童医院儿科护士疼痛评估循证护理实践水平较高,但需加强与患者及家属的交流,建立科室内相关制度,增强医护合作,促进儿科疼痛评估循证护理知识转化。

Objective To investigate the status and feasibility of evidence-based nursing practice of pain assessment in pediatric nurses and to analyze its influencing factors.Methods The convenient sampling method was adopted to select pediatric nurses who met the inclusion and exclusion criteria in Children's Hospital of Shanghai Jiao Tong University from August to December 2018 as the research objects.The Questionnaire on Status of Evidence-Based Nursing Practice of Pain Assessment in Nurses was used to investigate and the influencing factors were analyzed.A total of 300 questionnaires were issued and 265 valid questionnaires were collected,with an effective recovery rate of 88.33%.Results The evidence-based nursing practice score of pain assessment of 265 pediatric nurses was(114.22±19.81).The highest score was the dimension of pain screening,and the lowest score was the dimension of communication with patients and their families in pain assessment.Univariate analysis showed that there were statistically significant differences in the total scores of pain assessment evidence-based nursing practice among pediatric nurses in their departments and their doctors'support for pain treatment,whether pain was listed as the fifth vital sign,and whether pain care system was established(P<0.05).Multiple linear regression analysis showed that doctors'support for pain treatment,whether the department listed pain as the fifth vital sign and whether the pain care system was established were the influencing factors for pain assessment evidence-based nursing practice of pediatric nurses(P<0.05).Conclusions At present,pediatric nurses in Children's Hospital of Shanghai Jiao Tong University,have a relatively high level of evidence-based nursing practice in pain assessment.However,it is necessary to strengthen communication with patients and their families,establish relevant systems within the department,enhance medical cooperation and promote knowledge transformation of evidence-based nursing for pediatric pain assessment.