基于JCI标准的肿瘤患者疼痛管理实践

基于JCI标准的肿瘤患者疼痛管理实践

谌永毅卿利敏刘翔宇肖雪莲蔡歆舒文献李晓荣

湖南省肿瘤医院/中南大学湘雅医学院附属肿瘤医院护理部

出版日期:2015-04-25 发布日期:2015-04-25
基金资助:
2010 年国家临床重点专科建设项目（2011-50）

Practice of pain management among hospitalized cancer patients based on JCI standard

Online:2015-04-25 Published:2015-04-25

摘要/Abstract

摘要： 目的：探讨基于JCI 标准的肿瘤患者疼痛管理方法，以减轻患者的疼痛，提升疼痛管理护理服务品质。方法：依据JCI 评审标准，从完善肿瘤患者疼痛管理的制度、患者疼痛评估和记录、医护人员疼痛管理知识的规范化培训等多方面着手改进，形成一套基于JCI 评审标准的疼痛管理方法。结果：基于JCI 标准的肿瘤患者疼痛管理实施前后，对412 名本院新护士进行调查，护士疼痛管理理论知识水平评分分别为：（61.85±1.53）、（87.46±2.87）(t =9.52，P <0.01) ；护士使用疼痛护理记录满意度评分分别为：（3.12±0.51）、（4.82±0.64）(t =5.04，P <0.05) ；疼痛护理记录单记录合格率分别为：61.17％、97.72％。结论：基于JCI 标准的疼痛管理，有利于提高护士疼痛管理理论知识水平，提升患者疼痛管理评估正确率，改善患者疼痛控制效果，维护患者安全和提高护理质量，体现了以患者为中心的护理服务理念，值得进一步推广和应用。

Abstract: Objective: To evaluate the effect of pain management system based on JCI standard. Methods: A series of pain management methods was set up based on JCI standard, including improvement in pain assessment and record, and standardized training of pain management related knowledge. Totally 412 new nurses received the knowledge training of pain management system. Results: After 6 months pain management, The scores of pain management in 412 nurses increased from (61.85±1.53)to (87.46±2.87) (t=9.52, P<0.01), The satisfaction scores of using the pain care record improved from (3.12±0.51) to (4.82±0.64)(t=5.04, P<0.05). The pass rate of pain care record increased from 61.17% to 97.72%. Conclusion: Pain management system based on JCI standard could effectively improve the staff nurses' pain related knowledge and ensure patients' safety and care quality.

谌永毅卿利敏刘翔宇肖雪莲蔡歆舒文献李晓荣. 基于JCI标准的肿瘤患者疼痛管理实践[J]. , 2015, 15(4): 491-494.